Ambrose Adrian Healthcare, a Slough-based domiciliary care agency supporting 21 people, was rated Good overall and across all five key questions at its first inspection. Minor issues were noted around staff punctuality, variability in less-experienced staff competency, and care note recording, all of which the registered manager was actively addressing.
Concerns (3)
minor
Missed or late visits
: “They [staff] didn't always arrive on time and didn't always call to say they would be late.”
minorStaff competency: “The less experienced staff were not as practiced at supporting [person].”
minorRecord keeping: “audits identified that staff were not writing sufficient information in the care notes.”
Strengths
· Staff trained in safeguarding and understood how to report concerns
· Robust risk assessments covering mobility, falls, eating/drinking and environment
· Safe recruitment with DBS checks and sufficient staffing levels
· Medicines administered as prescribed with accurate records and spot checks
· Person-centred care plans regularly reviewed with people and relatives
Quality-Statement breakdown (23)
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; supporting people to access healthcare servicesNot 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: Duty of candour and being open and honest when something goes wrongNot 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 care; working in partnership with othersNot rated