Kemkare Limited's first inspection rated the domiciliary care agency Good across all five key questions, with strong person-centred care, safer recruitment, robust medicines management and a supportive registered manager. Minor improvements were identified around detail in distress-management care plans and formal recording of spot checks.
Concerns (2)
minor
Care planning
: “Where one person's records were less detailed about this level of support and what staff could do to respond to help reduce this person's distress, the registered manager acknowledged this”
minorGovernance: “The registered manager acknowledged that not all spot checks and home visits were formally recorded but had discussed this at a recent staff meeting”
Strengths
· Person-centred care with thorough initial assessments and good continuity of care
· Safer recruitment procedures and sufficient staffing with Electronic Call Monitoring
· Strong medicines management with monthly MAR audits and competency assessments
· Robust infection prevention and control practices during COVID-19 pandemic
· Compassionate, dedicated staff team with positive relative feedback
Quality-Statement breakdown (25)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies; supporting people to live healthier lives and access healthcareNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationships and follow interestsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot 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: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated