We Are Your Care Ltd, a small domiciliary care agency supporting 7 people, was rated Good across all five key questions at its first inspection. Minor issues were identified in recruitment recording, medicines guidance consistency and medication audits, all of which the registered manager committed to address promptly.
Concerns (3)
minor
Record keeping
: “We found one instance where staff recruitment was not fully recorded.”
minorMedication management: “we found one person's medicinal allergies and guidance for staff to use for another person needed to be more consistent.”
minorGovernance: “We found medication audits had not always identified areas where staff would benefit from further guidance, such as for 'as and when' required medicines.”
Strengths
· Consistent staff team with good continuity and reliable timekeeping
· Strong staff training and investment in skills development, including condition-specific training such as catheter care
· Person-centred care with staff showing spontaneous acts of kindness and respecting independence, dignity and privacy
· Compassionate and flexible end of life care praised by relatives
· Effective infection prevention and control practices with appropriate PPE use
Quality-Statement breakdown (22)
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 to provide consistent, effective, timely careNot 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: 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 being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving careNot rated