Advance Home Help and Support Services Limited received a Good rating across all five key questions at this first inspection of the newly registered domiciliary care agency supporting seven people. The only noted issue was the absence of a registered manager, though a candidate had been identified and the registration process had begun, with no negative impact on people's care.
Concerns (2)
minor
Leadership
: “The provider did not have a registered manager in post at this time, however, a candidate had been identified and the process had been started to apply for registration with CQC.”
minorGovernance: “The absence of a registered manager limits the rating in the Well-led section, however, people's care has not been negatively impacted upon.”
Strengths
· Robust and effective safeguarding systems with staff trained to identify and report concerns
· Safe medication management with training and competency assessments
· Effective recruitment procedures including DBS checks and references
· Staff received training in safeguarding, moving and handling, dementia, fire safety and Mental Capacity Act
· People received consistent care from a small, well-known team of staff
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: How the provider understands and acts on the duty of candour; Managers and staff being clear about their rolesGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; Working in partnership with othersGood