Aspire Care Support Services Ltd was rated Good across all five key questions at its January 2023 inspection, with 59 people receiving domiciliary care. Minor gaps in risk assessments and internal audit oversight were identified but immediately rectified by the registered manager, with new processes implemented to strengthen governance.
Concerns (2)
moderate
Care planning
: “Some of the risk assessments and management plans in place to keep people were safe had been reviewed and updated as appropriate, but some were not.”
moderateGovernance: “There were some issues surrounding the completion of risk documents and other systems that contributed to effective oversight of the service that internal audits had not identified.”
Strengths
· People felt safe and reported consistency and reliability of care staff
· Robust recruitment process with background checks and references
· Medicines managed appropriately with regular competency checks on staff
· Staff received comprehensive induction, regular supervision, and high-quality training
· Positive feedback from professionals, people, and relatives about responsiveness and engagement
Quality-Statement breakdown (22)
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
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: 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: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood