Belet & Care Limited received an overall rating of Requires Improvement at its first inspection, with a breach of Regulation 12 found due to absent or insufficiently detailed risk assessments, and audit systems failing to identify deficiencies in risk management and staff recruitment checks. Care was otherwise personalised, compassionate and consistent, with staff and relatives giving positive feedback across the effective, caring and responsive domains.
Concerns (5)
criticalCare planning: “one person had a history of seizures, however there was no risk assessment detailing signs to look out for and what action to take in the event of a seizure.”
moderateGovernance: “The service's checks and audits were not effective in identifying the issues found with regards to risk assessments and staff employment checks.”
moderateStaff competency: “there were instances where referee details were limited and there was a lack of evidence to confirm that character references had been verified.”
minorRecord keeping: “this person's care plan had not been updated to reflect this change at the time of the inspection.”
minorStaff training: “we noted that care workers had not completed end of life training and this was confirmed by the registered manager.”
Strengths
· People felt safe with care workers and were protected from abuse; no safeguarding concerns had been raised since registration.
· Staff arrived on time and people received consistent, familiar care workers, supported by an electronic homecare monitoring system.
· Care plans were personalised, reflecting people's cultural, religious, dietary and communication needs.
· Staff felt well supported by the registered manager and completed relevant induction and training including safeguarding and infection control.
· People and relatives gave consistently positive feedback about the kindness, respect and quality of care provided.
Quality-Statement breakdown (22)
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Staffing and recruitmentRequires improvement
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
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; 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 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 supportRequires improvement
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; continuous learningRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staff; working in partnership with othersGood
well-led: How the provider understands and acts on the duty of candourGood