Destiny Integrated Care Cambridge Branch received a Good rating across all five key questions at its first CQC inspection, demonstrating safe, person-centred care for 36 people receiving personal care. Minor shortfalls were identified in medicines administration records and care plan detail, but the registered manager addressed these promptly during the inspection.
Concerns (4)
moderate
Medication management
: “not all people's medicines administration records (MARs) were complete or accurate. Where people were supported with medicines that had to be administered in a specific way, staff had not recorded when and how they had administered this medicine.”
moderateGovernance: “The provider's medicines administration audits had not identified this omission... these areas should have had better oversight.”
minorCare planning: “other records including the use of moving and handling equipment lacked detail... The lack of detail in some people's care plans about how independence would be promoted created a risk that opportunities to improve independence could be missed.”
minorRecord keeping: “staff were reminded to include a detailed account of their care call visits... reminding staff to always keep accurate and detailed documentation.”
Strengths
· Staff were well-trained in safeguarding, medicines administration and infection prevention and control, with competency regularly assessed.
· People were supported to have maximum choice and control of their lives in the least restrictive way possible.
· Staff promoted people's equality, diversity and independence, adapting communication methods to individual needs.
· Effective multi-agency working with GPs, social workers, dieticians, SALTs and occupational therapists.
· Safe recruitment practices in place including DBS checks, employment references and identity verification.