Midlands Total Care Limited was rated Good overall at its first inspection, with all five key questions rated Good. A recommendation was made to review staff training and induction to ensure they meet Care Certificate Standards.
Concerns (4)
moderateStaff training: “Staff undertook training upon induction, but we were not assured this was of a sufficient standard.”
moderateStaff training: “On induction, staff completed all training courses in one day.”
minorRecord keeping: “some additional training was completed, although this was not documented on the training records we received.”
minorGovernance: “documentation did not always meet best practice in regard to recording of actions taken.”
Strengths
· People received safe care and were protected against avoidable harm, abuse, neglect and discrimination.
· Safe recruitment practices including DBS, identity and right to work checks.
· Medicines administered safely by trained staff with accurate records.
· Staff treated people with kindness, respect, dignity and compassion, with positive written compliments from relatives.
· Person-centred, flexible approach with care plans documenting individual preferences.
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot 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 healthcare servicesNot 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 their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot 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 culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Managers and staff being clear about their roles; duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated