Graceful Care - Wandsworth

We undertook this inspection because at the previous inspection, we received mixed feedback about staff timings and attendance to calls. The electronic system used to monitor staff attendance on their calls did not always work as intended and office staff had to manually log

visits.

At this assessment, we reviewed all 15 quality statements related to the 2 key questions, Is the service safe and well-led? For those key questions not inspected, we used the ratings awarded at their last inspection to calculate the overall rating.

Based on the findings of this inspection we continue to rate the service good overall.

The electronic call monitoring system was now established and working well. Care visits were being carried out in line with the rotas and governance systems were in place to ensure that the visits were being monitored and any discrepancies were followed up.

People using the service and their relatives told us they felt safe in the presence of care workers. Staff understood and managed risks well, including those in relation to people’s home environment.

There were enough staff employed with the right skills, qualifications and experience. Staff recruitment practices were safe. Staff were supported and received appropriate training which met the needs of people using the service. People received their medicines safely and as prescribed.

There were clear management structures in place which helped to ensure the smooth running of the service. Managers and staff had a shared vision and culture based on privacy, dignity and respect and meeting people’s individual needs. Staff felt supported in their roles and were treated equally and fairly. There was a positive culture of learning and improvement within the service. The service had good governance process in place to monitor the quality of service including investigating accidents and incidents. Managers and staff worked closely with external community health and social care professionals and bodies.