Macrita Healthcare received an overall Good rating at its first inspection, with four of five key questions rated Good and Safe rated Requires Improvement due to incomplete risk assessments and care planning documentation. The service demonstrated consistent, person-centred care delivered by well-trained, familiar staff, though risk management documentation needed improvement to ensure all risks were formally identified and mitigated.
Concerns (2)
moderate
Care planning
: “Not all risks associated with the person's care had been described and measures identified.”
minorRecord keeping: “Risk management was an area of care planning that required some improvement. Not all risks associated with the person's care had been described and measures identified.”
Strengths
· People were treated with dignity and respect and were involved in planning their own care
· Staff were trained in safeguarding and felt confident in recognising and reporting potential abuse
· Regular, consistent staff supported the person, with no unfamiliar staff having attended calls
· Staff received training covering safeguarding, health and safety, equality and diversity and use of restraint
· Systems in place to record accidents and incidents to identify themes or patterns
Quality-Statement breakdown (23)
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyNot rated
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: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
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, continuous learning and working in partnershipGood