Michael Batt Foundation Domiciliary Care Services

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Arrangements were in place to formally assess, review and monitor the quality of care provided at the service. This included regular audits of accidents and incidents, safeguarding, recruitment, care plans and statutory responsibilities. Where shortfalls were identified, the registered manager took prompt action to address any shortfalls. The Registered Manager and Leadership Team were capable, compassionate and inclusive. The systems they had introduced had driven improvement in the service and the areas in which they identified as needing further improvement demonstrated this. It was evident throughout this assessment the registered manager, deputy manager and operations manager were transparent, open and honest. Although the service had made improvement it still needed to fully embed sustain the changes and improvements to culture and processes.

This service scored 43 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a clear shared direction in place which was underpinned by promoting a positive culture within their team. The provider had a clear shared direction in place which was underpinned by promoting a positive culture within their team. The Registered Manager told us, “The service is working to identify, how it fosters a culture of empathy, respect and dignity for all individuals”.

The shared direction within the service was underpinned by policies and procedures. For example, in equality diversity and human rights. We noted that the leadership team had started to revisit its mission statement ethos following our previous inspection.

Staff described the caring nature of the registered manager and leadershipteam. Comments included, “Its 100% better now. Before I didn’t know who to contact if things went wrong”, “Things have improved since the new management team have arrived”, “Things have improved for the people we support” and “All aspects have improved”.

The registered manager and leadership team were capable, compassionate and inclusive. Systems had been introduced that had driven improvement in areas which they identified as needing further improvement. It was evident throughout this assessment. The registered manager, deputy manager and operations manager were transparent, open and honest.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The registered manager and leadership team described the arrangements they had in place to formally assess, review and monitor the quality of care provided at the service. They described how staff checks and supervisions formed part of the system. Staff told us the leadership team were approachable and supportive. The registered manager was honest in describing areas of their service improvement plan that needed further work to bring the service up to their desired standards and further improve the quality of care that people received.

At our last inspection we found the provider was failing to operate an effective systems to assess and improve the quality and safety of the service. At this assessment the service had improved. However, although improvements had been made the service still needs to demonstrate it can fully embed and sustain these improvements. Arrangements were in place to formally assess, review and monitor the quality of care provided at the service. This included regular audits of accidents and incidents, safeguarding, recruitment, care plans and statutory responsibilities. Where shortfalls were identified, the registered manager took prompt action to address any shortfalls.

We were unable to collect the voice of people using the service for this evidence category. However, we reviewed peoples care records and we were satisfied that people were receiving adequate assessments and reviews of their care.

The registered manager and provider described how they worked in collaboration with external stakeholders and agencies. Staff and leaders described how they worked in partnership with key organisations to support care provision, service development and joined-up care. The registered manager had identified that improvements were needed with regards to working with the wider community and community groups and partners, in order to share learning and experiences and to identify new or innovative ideas that could lead to better outcomes for people.

The provider had actively worked alongside specialists from a local learning disability service and we received positive feedback from that service.

The provider had systems in place to monitor how the service was engaging with, and acting on, feedback from partner agencies to ensure service development and joined-up care was taking place.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.