Worlta Health Care Ltd improved from Requires Improvement to Good following a focused inspection of Safe and Well-led domains, having remediated a prior breach of Regulation 19 (Fit and Proper Persons). The service demonstrates safe recruitment, effective governance, consistent staffing, and a person-centred culture led by an engaged registered manager.
Strengths
· Recruitment practices improved since last inspection; thorough DBS and background checks now in place
· Sufficient staffing levels with consistent, punctual staff attending care calls on time
· Medicines administered safely with competency checks and audits conducted by registered manager
· Effective infection control practices including up-to-date policies and staff training
· Governance arrangements improved with regular monitoring, spot checks, and oversight of recruitment
Worlta Health Care Ltd received an overall rating of Requires Improvement at its first inspection, with a breach of Regulation 19 identified due to unsafe recruitment practices including incomplete application forms and unreliable references for staff. People were otherwise positive about their care and the service performed well across effective, caring and responsive domains, with governance failures limited to the oversight of recruitment processes.
Concerns (4)
criticalStaffing levels: “One staff member had not completed their application form fully and detailed information about their previous employment was missing.”
criticalRecord keeping: “References obtained for two staff members were not reliable as these did not reflect their previous employment history.”
moderateGovernance: “The provider's governance systems were not entirely effective. They had not identified the issue we found with their current recruitment practices at this inspection.”
minorEnd-of-life care: “People were not routinely asked about their wishes for the support they wanted to receive at the end of their life.”
Strengths
· Staff had been trained to safeguard people from abuse and knew how to manage risks, with people reporting feeling safe.
· People were satisfied with the care received and staff were punctual and consistent with timekeeping.
· Staff received regular supervision, training and were encouraged to achieve relevant qualifications.
· People's cultural, social and spiritual needs were respected and recorded; staff received equality and diversity training.
· The registered manager worked proactively with healthcare professionals and acted on their recommendations.
Quality-Statement breakdown (20)
safe: Staffing and recruitmentRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
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; supporting people to live healthier lives and access healthcareGood
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: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportRequires improvement
well-led: Managers and staff being clear about their roles; continuous learning and improving careRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood