Quality Homecare (Barnsley) Limited

On this page

• 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

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.The service was previously in breach of legal regulation in relation to good governance.At this inspection we found enough improvement had been made and the service was no longer in breach of this regulation.

This service scored 75 (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 shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities. Staff and managers worked together to provide safe and effective care to people. The provider had an induction and training package that all staff undertook which included equality and diversity training.

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty. All staff members we spoke to told us they felt supported by managers. Staff told us that if they came across difficulties in their roles, they could call at any time to speak to a manager who would help them.

The provider fostered a positive culture where people felt they could speak up and their voice would be heard. The provider had a whistleblowing policy in place and staff told us they would feel confident in raising concerns should they need to. The provider had staff surveys in place and were in the process of updating their staff survey process to gather more in depth information.

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them. Staff told us they felt valued and supported by managers and where they needed support, this was given. A staff member told us, “The manager is brilliant and treats us well, they are very supportive.”

The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate. The provider undertook regular announced and unannounced spot checks and observations of care delivery and were in regular contact with the people they support. Electronic systems were in place to allow managers to oversee notes from staff, people and relatives regarding care delivery. An electronic call monitoring system was in place to track call times; however the system was not always up to date due to poor signal coverage in some locations staff visited. The provider was aware of this and was exploring other electronic options.

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated for improvement. Feedback received from professionals about the service was positive. Professionals told us that information was shared appropriately, and the service was proactive in seeking advice when needed. Records showed the service documented safeguarding concerns in detail and shared these promptly.

The provider focused on continuous learning, innovation and improvement across the organisation and local system. They actively contributed to safe, effective practice and care. The provider had invested in online systems to allow transparency in record keeping. A system was in place which allowed both staff and people to access records and make notes. Managers were reviewing internal processes and had identified areas for improvement, for example staff feedback and were actively working to implement change.