Altogether Care - Care At Home Limited Poole

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. This is the first assessment for this newly registered service. This key question has been rated good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

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 service 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. Everyone was committed to the service and providing the best care. Staff told us they understood the importance of working together for a shared goal. The manager was passionate in their efforts and created strength in the team to deliver shared outcomes for people. The providers ethos and mission were embedded in the service and available to the public.

The service 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. Without exception we received positive feedback about the management of the service, some of the comments were, “The manager is very compassionate, very approachable and always finds time to listen to what you have to say”, “The manager is very supportive and easy to approach”, “I feel very confident in the managers leadership, they are very knowledgeable in the care sector and I trust their guidance.”

The service fostered a positive culture where people felt they could speak up and their voice would be heard. People and their relatives were provided with opportunities to give their views on the service and these were actively sought. Staff felt comfortable raising concerns, they knew how to speak up and had confidence they would be supported.

The service valued diversity in their workforce. They work towards an inclusive and fair culture by improving equality and equity for people who work for them. Staff told us they felt their individuality was respected and encouraged within the service. We received numerous examples of where individual circumstances were considered and supported, such as family commitments and work/life balance. Policies and procedures underpinned equality, diversity and inclusion.

The service 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 act on the best information about risk, performance and outcomes, and share this securely with others when appropriate. Governance systems were operating effectively which enabled the provider and manager to have oversight of the service. Leadership was multi-layered and communication channels were clear. There were a range of audits within the service which supported safe operation. Policies and procedures dictated frequency of audits and records showed these were effective.

The service understood their duty to collaborate and work in partnership, so services work seamlessly for people. They share information and learning with partners and collaborate for improvement. The service continually shared information and worked with a wide range of professionals and services to support people in their own homes. We received positive feedback from external stakeholders and professionals who worked alongside the service. We were told the working relationships were strong.

The service focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people. They actively contribute to safe, effective practice and research. The manager and provider told us about the ways in which they were continually looking to improve the service. This included being proactive in identifying shortfalls through their audits and checks. Working with other managers across the providers locations and continual learning. A member of staff said, “The manager is always listening and learning so I am confident in their continued leadership.” The manager had effectively implemented the providers processes, and this had enabled them to lead a safe service.