Priory Nursing Agency & Homecare Limited received a Good rating across all five key questions at its January 2020 inspection, with people and relatives reporting high satisfaction and staff demonstrating competence in safeguarding, MCA and person-centred care. The single area for improvement was the lack of sufficiently comprehensive and documented audits, for which a recommendation was made.
Concerns (3)
moderate
Governance
: “These audits were however, not sufficiently comprehensive and we did not see documented evidence of regular and planned audits for punctuality, medicine arrangements, care documentation, incidents and accidents.”
minorMedication management: “Monthly checks of MARs had been carried out to ensure that medicine administration procedures were followed. We however, noted that these checks had not been routinely documented.”
minorCommunication with families: “With one exception, people and relatives knew how to make a complaint...The registered manager promptly contacted the person concerned who was unaware of the complaints procedure.”
Strengths
· Staff were safely recruited with appropriate DBS checks, references and right-to-work evidence in place.
· People and relatives consistently reported feeling safe and satisfied with the care provided.
· Staff demonstrated good knowledge of safeguarding, MCA and individual care needs.
· Regular supervision, appraisals and spot checks were carried out by management.
· The service matched staff to people by language and cultural background, supporting effective communication.
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: Supporting people to live healthier lives, access healthcare services and supportGood
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 meet people's needs, preferences, interests and give them choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Planning and promoting person-centred, high-quality care and openness; 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, the public and staffGood
well-led: Continuous learning and improving careGood