Virtue Care Services Ltd, a domiciliary care agency in Barnsley supporting 16 people, was rated Good overall at its first inspection but Requires Improvement in well-led due to governance systems needing embedding and gaps in care plan review and involvement. People received safe, effective and compassionate care from a kind staff team led by an approachable registered manager.
Concerns (6)
moderate
Governance
: “Systems were in place to ensure people received a good service. However, these processes required embedding in to practice.”
moderateCare planning: “Some care plans required review to ensure they were reflective of people's needs. For example, one care plan did not include instructions on how to move someone who used a hoist.”
moderatePerson-centred care: “Some people and their relatives didn't feel involved in the initial assessment or care planning arrangements. This had not been identified as part of the quality monitoring system.”
minorStaff training: “Staff received appropriate training and support to carry out their role and develop their skills and knowledge. However, some training was not always effective.”
minorRecord keeping: “We viewed some medication records and medication audits and found some gaps in recording had been identified.”
minorLeadership: “one person commented about requesting a female carer and a male carer arriving on three occasions.”
Strengths
· Staff trained in safeguarding and knew how to recognise and report abuse
· People received their medicines as prescribed
· Robust recruitment with DBS checks, references and shadow shifts
· Staff had sufficient time to complete tasks and did not rush people
· Spot checks ensured infection control and PPE compliance
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: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot 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: Continuous learning and improving careNot 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, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated