Caremark Liverpool is a domiciliary care service providing support to people in their own homes. At the time of this assessment the service supported 22 people. At our last inspection, the service was rated good. The assessment was prompted by a review of information we held about the service. The assessment began on 23 April 2024 and ended 3 May 2024. Following the assessment the service has remained good. We assessed a total of 12 quality statements from the safe, effective. caring, and well-led key questions and found areas of good practice . The scores for these areas have been combined with scores based on the key question ratings from the last inspection. We found good practice in relation to risk management. Our feedback from people who used the service indicated staff knew them well and treated them kindly. Lessons has been learnt in relation to medication incidents, and staff were trained and supported to develop within their roles. There were processes in place to ensure people were safeguarded from the risk of abuse, feedback from staff indicated they understood their role in relation to this. The registered manager reviewed and analysed events that occurred across the location to support improvements of care for people. Staff were given a platform to enable them to speak up, staff told us the managers were approachable and supportive.
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First inspection of Caremark Liverpool, a small domiciliary care agency supporting five people, rated Good overall and across all five key questions. Inspectors found safe recruitment, well-managed medications and infection control, person-centred care plans, trained and supervised staff, and effective governance with audits and timely CQC notifications.
Strengths
· Safe recruitment with all required pre-employment checks completed
· Comprehensive, person-specific risk assessments including environmental risk assessments
· Medication processes well managed including PRN plans and best interest decisions for storage
· Strong infection control with COVID-19 training, PPE use, routine testing and vaccination
· Staff well trained, supervised, appraised and monitored via training matrix
Quality-Statement breakdown (22)
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies; supporting people to access healthcare servicesNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationships to avoid social isolationNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
responsive: Planning personalised care to ensure people have choice and controlNot rated
well-led: Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Continuous learning and improving careNot rated
well-led: Engaging and involving people using the service, the public and staff; working in partnership with othersNot rated
well-led: How the provider understands and acts on the duty of candourNot rated