CareUK Living Limited received an overall Good rating at its first inspection, with Safe rated Requires Improvement due to gaps in DBS checks for two staff members and incomplete risk assessment strategies. Governance processes were not yet embedded, as no formal audits had been completed, though the registered manager responded promptly to all issues identified during inspection.
Concerns (4)
critical
Staffing levels
: “1 staff member's DBS check did not include working with children. Another staff member did not have a DBS check to work for CareUK Living.”
moderateCare planning: “not all strategies were recorded fully. For example, when a risk assessment stated a person suffered from anxiety...the strategies did not always detail what staff should do.”
moderateGovernance: “The registered manager had not completed any audits or recorded any findings from reviewing paperwork...had not identified the issues with staff files and risk assessments found on inspection.”
minorPerson-centred care: “People, relatives and staff had not been formally asked to feedback on the service.”
Strengths
· Staff arrived on time and stayed the allocated amount of time, with relatives reporting consistent and flexible support.
· Care plans contained up-to-date, detailed, person-centred information including goals, preferences, religion, and communication needs.
· Staff received comprehensive induction, training, and shadowing before lone working.
· Relatives were extremely complimentary, describing staff as kind, friendly, professional, gentle and compassionate.
· Registered manager demonstrated a clear vision, was open to challenge, and acted immediately on inspection feedback to mitigate risks.
Quality-Statement breakdown (19)
safe: Staffing and recruitmentRequires improvement
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
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: Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier livesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversity; Respecting and promoting people's privacy, dignity and independenceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
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: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
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: Continuous learning and improving care; Working in partnership with othersGood