Caerus House improved across all five key questions, moving from Requires Improvement to Good overall, with previous breaches of Regulations 18 and 19 resolved. At the time of inspection only one person was receiving personal care, and the relative reported confidence in safe, person-centred and well-managed care.
Strengths
· Improvements made to documentation, systems and management since previous inspection; no longer in breach of regulations.
· Safe recruitment procedures with DBS, references and identity checks now consistently completed.
· Detailed personalised risk assessments with control measures, regularly reviewed and communicated to staff.
· New electronic monitoring system enables real-time oversight of staff punctuality and visit duration.
· Safeguarding policies and training documented; registered manager understands reporting responsibilities.
Quality-Statement breakdown (22)
safe: Staffing and recruitmentNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot 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: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff working with other agencies; supporting people to access healthcareNot 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; continuous learning and improving careNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staff; working in partnership with othersNot rated