DCC Bolsover Home Care, a domiciliary agency supporting 40 people, was rated Good overall and across all five key questions at its first inspection. Minor issues were noted around transferring risk and communication detail from initial assessments into care plans and a single MAR record-keeping observation, but people were safe, well-cared for, and the service was well-led.
Concerns (4)
minor
Care planning
: “Full information about people's specific risks was not always transferred to care plans from initial assessments.”
minorCommunication with families: “Their care plan instructed staff to make adjustments for the person but did not identify what specific adjustments were required.”
minorRecord keeping: “We saw one MAR which did not follow best practice regarding record keeping as it had handwritten notes on the top of the page.”
minorLeadership: “Some staff felt management above this level were not always accessible.”
Strengths
· Enough staff to meet needs and people received care calls on time despite recruitment challenges
· Safe recruitment procedures including DBS and references
· People received prescribed medicines safely with staff training and competency checks
· Effective infection prevention and control practices with appropriate PPE use
· Staff received required training including the Care Certificate, regular supervisions and spot checks
Quality-Statement breakdown (23)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Using medicines safelyNot rated
safe: Learning lessons when things go wrongNot 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 to maintain a balanced dietNot rated
effective: Staff working with other agencies; supporting people to access healthcareNot 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 views and respecting privacy, dignity and independenceNot rated
responsive: Meeting people's communication needsNot rated
responsive: Planning personalised care to ensure people have choice and controlNot 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: Promoting a positive, person-centred, open, inclusive and empowering cultureNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Managers and staff being clear about roles, quality performance, risks and regulatory requirements; continuous learningNot rated
well-led: Engaging and involving people, the public and staffNot rated
well-led: Working in partnership with othersNot rated