St George's Park Limited, a small domiciliary care agency serving a retirement community, was rated Good across all five key questions at its November 2016 inspection. Minor recording gaps were identified in staff shadowing, supervision frequency, observational checks, and some care plan detail, but no regulatory breaches were found and the service demonstrated strong person-centred care, consistent staffing, and effective leadership.
Concerns (5)
moderate
Supervision / appraisal
: “Staff had supervision twice this year. The registered manager told us the one to one supervisions had lapsed when she was without a deputy manager.”
minorCare planning: “Some of the care plans were not as comprehensive and the detail was more basic.”
minorRecord keeping: “These checks were not documented so there was no evidence of concerns that were addressed or good practice that was commended.”
minorStaff training: “The registered manager did not formally record this in the staff induction records...could not always be sure the shadowing had actually taken place as planned.”
minorGovernance: “These monitoring processes were not always documented to evidence the regularity of checking.”
Strengths
· People consistently reported feeling safe, with staff punctual and staying for the full allocated time.
· Robust recruitment processes including DBS checks, full employment history and reference verification.
· Small, consistent staff team fostered strong relationships, trust and person-centred care.
· Medicines administration records were comprehensive with no gaps, and monthly MAR checks were undertaken by the registered manager.
· Care plans were reviewed monthly and more frequently when needs changed, with people and families actively involved.
Quality-Statement breakdown (19)
safe: Safeguarding procedures and staff knowledgeGood
safe: Individual and environmental risk assessmentGood
safe: Staffing levels and punctualityGood
safe: Recruitment practicesGood
safe: Medicines managementGood
safe: Accident and incident recordingGood
effective: Staff training and inductionGood
effective: Supervision and appraisalGood
effective: Mental Capacity Act complianceGood
effective: Health care professional liaison and nutrition supportGood
caring: Staff attitude and respect for dignityGood
caring: Promotion of independenceGood
caring: Cultural and religious awarenessGood
responsive: Person-centred care planning and reviewGood
responsive: Complaints handlingGood
responsive: Seeking and acting on people's viewsGood
well-led: Leadership and management visibilityGood
well-led: Staff support and team cultureGood
well-led: Quality assurance and governance systemsGood
St George's Park Limited is a domiciliary care agency rated Good across all five key questions at its October 2019 inspection, maintaining its previous Good rating from 2017. The service demonstrated consistent, person-centred care with robust safeguarding, medication management, staff training, and governance arrangements.
Strengths
· People felt safe, were treated with kindness and dignity, and reported high satisfaction with care staff
· Consistent and regular staff team with good knowledge of people's individual needs and preferences
· Detailed, person-centred care plans developed with involvement from people and their families
· Robust medicine risk assessments and MAR audits in place with no errors identified
· Strong quality assurance systems including audits, home visits, spot checks and satisfaction surveys