Kare Plus Leeds received a Good rating across all five key questions at its first CQC inspection in November 2022, with 33 people receiving personal care in their own homes. Minor concerns were noted around safeguarding notification timeliness, inconsistent mask-wearing by some staff, and complaints accessibility, all of which the registered manager took prompt action to address.
Concerns (5)
moderate
Safeguarding
: “some staff were not always sure when and how to report safeguarding issues to the local authority safeguarding team. The provider took immediate action to address this.”
moderateComplaints handling: “some people told us they found it difficult to access senior staff and that their complaints or concerns were not always acted upon. The registered manager took action to address this.”
moderateSafeguarding: “Whilst the provider was notifying CQC of allegations of abuse, they were doing so after the local authority team had investigated allegations.”
minorRecord keeping: “some people reported that their previous logs and care plans had been removed when the provider introduced a new electronic care planning and care record system.”
minorInfection control: “some people told us some staff did not always wear masks.”
Strengths
· Robust recruitment process with appropriate DBS checks in place ensuring suitable staff were employed.
· Medicines administered safely with correct MAR records used and regular audits conducted to ensure consistent medication management.
· Person-centred care plans and risk assessments developed with involvement and consent of people using the service.
· Staff received induction, ongoing training and regular supervision supporting safe and effective care delivery.
· Governance systems including audits, complaints analysis and incident reviews used to drive continuous improvement.
Quality-Statement breakdown (24)
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: 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 eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
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: Improving care quality in response to complaints or concernsGood
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: 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
well-led: How the provider understands and acts on the duty of candourGood
well-led: Continuous learning and improving careGood