First inspection of a small domiciliary care agency supporting two people, rated Good overall and across all five key questions. A recommendation was made to strengthen recruitment checks, while safeguarding, medicines, training, person-centred care and emerging governance systems were all positive.
Concerns (2)
minor
Other
: “Recruitment procedures were in place however they needed to be more robust to ensure all checks were done prior to employment.”
minorGovernance: “The management team had introduced auditing systems to maintain ongoing oversight and continued development of the service.”
Strengths
· Effective safeguarding systems and staff understanding
· Staff managed medicines according to national guidelines and had competencies assessed
· Good infection prevention and control practices including PPE use
· Person-centred care with people involved in care planning
· Staff treated people with kindness, patience, dignity and respect
Quality-Statement breakdown (19)
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: 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; access healthcare; working with other agenciesNot 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 diversity; privacy, dignity and independenceNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
responsive: Planning personalised care to meet needs and preferences; relationships and activitiesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Managers and staff clear about roles; quality, risks and regulatory requirements; duty of candourNot rated
well-led: Engaging and involving people, the public and staffNot rated
well-led: Working in partnership with othersNot rated