First inspection of Future Living Care, a small domiciliary care agency supporting five people, rated Good across all five key questions. Minor improvements were noted in detailing risk management, recruitment records and personalised information in care plans, all already identified by the registered manager.
Concerns (4)
minor
Care planning
: “some areas where risk management measures needed to be more detailed”
minorStaff competency: “Some areas needed to be strengthened such as interview record notes and references that were requested.”
minorPerson-centred care: “Not all care records contained the same level of consistent information. Additional information needed to be added in some people's care records”
minorCommunication with families: “The provider was developing their approach to ensuring the accessible information standard was continuously improving”
Strengths
· Safe and effective medication administration with weekly and monthly audits
· Consistent, reliable staffing with positive relative feedback
· Effective infection prevention and control arrangements including PPE and COVID-19 testing
· Staff well trained, inducted and supported with regular supervisions and appraisals
· Person-centred, dignified and respectful care with people involved in care planning
Quality-Statement breakdown (24)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongNot 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: 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 to provide consistent, effective, timely careNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
responsive: Meeting people's communication needsNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot 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: Continuous learning and improving careNot 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: Working in partnership with othersNot rated