Caring Stars Limited received a Good rating across all five key questions at its first CQC inspection in May 2023, with people and relatives consistently praising the kindness and responsiveness of staff. The sole area requiring improvement was consent and capacity record-keeping, for which a recommendation was made to align practice with the Mental Capacity Act 2005.
Concerns (3)
moderate
Consent / capacity
: “Records relating to consent, and capacity needed improvement. Records did not always demonstrate people, or their legal representatives had consented to their care.”
minorStaff training: “One relative raised a concern about staff training. They said they felt staff would benefit from more training in how to support people with dementia when they are feeling anxious or distressed.”
minorPerson-centred care: “One person said, "You have to show the staff the basics even how to make a sandwich."”
Strengths
· People were safeguarded from the risk of abuse with staff trained to recognise, report and record concerns.
· Robust staff recruitment practices including DBS checks were in place.
· Medicines were administered safely with regular competency checks and audits of medication administration records.
· Infection prevention and control practices were effective with appropriate PPE use.
· Accidents and incidents were analysed for trends to support learning and improvement.
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood