First inspection of Faith Community Healthcare, a small domiciliary care service supporting 15 people, rated Good overall and across all five key questions. Gaps were identified in risk assessments around health conditions, falls and medicines refusal, which the registered manager began addressing immediately by introducing a field supervisor role.
Concerns (5)
moderate
Care planning
: “risk assessments were not always in place to record risks with regards to people's health conditions and/or diagnoses.”
moderateCare planning: “Another person's care plan stated person was a high falls risk, however they did not have a risk assessment in place around falls.”
moderateMedication management: “Risk assessments were not in place around medicines refusal. One person had a record of refusing medicines... there was no guidance for staff to follow.”
minorCare planning: “care files did not contain information leaflets for people's known conditions, to support staff to identify symptoms.”
minorCare planning: “However medical information around people's health conditions required more detail.”
Strengths
· People and relatives reported feeling safe and described staff as kind, caring and reliable
· Staff supported through induction (Care Certificate), training, regular supervision and annual appraisals
· Staff trained and skilled in end of life care; team worked flexibly to ensure dying person had someone with them at all times
· Safe recruitment practices including DBS checks completed before employment
· Electronic system to monitor staffing levels and timekeeping ensuring no missed calls
Quality-Statement breakdown (25)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Staffing and recruitmentNot 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: Supporting people to live healthier lives, access healthcare services and supportNot 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 to avoid social isolationNot 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: How the provider understands and acts on the duty of candourNot 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