Agency profile · CQC 1-131450399

Albury Care Limited

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Provider

Albury Care Limited

Surrey · South East · Active since 09/1

GoodHome-careRM: Kilian, Magdalena

Overall rating

Good

safeGood

effectiveGood

caringGood

responsiveGood

well-ledGood

Last inspection

7 years ago

01/Jun/2018 - 00:00

Inspected 7 years ago

Overview Inspections (2)Findings (7)Owner-management Methodology

Inspection reports (2)

Inspection report · 2021-10-30
Framework: KLOE · 16 pages · 80 KB · PDF
Requires improvement
safe: Goodeffective: Requires improvementcaring: Goodresponsive: Requires improvementwell-led: Requires improvement
Albury Care Limited was rated Requires Improvement overall at this November 2016 inspection, with breaches of Regulation 17 (good governance and record-keeping) and Regulation 18 (staff training) identified. While the service demonstrated strengths in medicines management, safeguarding awareness, staffing consistency and person-centred care, persistent gaps in care record quality, mandatory training completion, and absence of formal quality monitoring systems drove the overall rating down.
Concerns (6)

criticalStaff training: “The training matrix showed some staff had not received their refresher training on safeguarding adults, medicines administration and manual handling.”
criticalGovernance: “There were no systems in place at the time of our inspection to review key performance data, including undertaking trend analysis of complaints, incidents and accidents.”
criticalRecord keeping: “Some people's care records had not been reviewed meaning there was a risk that these records would not accurately reflect people's current support needs.”
moderateCare planning: “One person's records did not provide sufficient information and detail about the person's needs and what was to be provided throughout the day.”
moderateIncident learning: “Robust systems were not in place to ensure ongoing monitoring of the quality of service delivery and ensure learning from incidents and complaints.”
moderateSupervision / appraisal: “There was no system in place to ensure regular spot checks on the quality of support provided and there were no records kept of the spot checks completed.”

Strengths

· Sufficient staff to meet people's needs with consistency; low staff turnover with some people supported by the same staff for up to 10 years.
· Accurate medicines administration records maintained and people confirmed they received required medicines support.
· Staff adhered to the Mental Capacity Act 2005 code of practice; best interests decisions made appropriately.
· Manager matched staff to people based on gender, cultural, religious and personality preferences.
· Staff respected people's privacy and dignity and involved people in decisions about their care.

Quality-Statement breakdown (19)

safe: Risk assessment and managementGood
safe: Medicines managementGood
safe: Staffing levels and consistencyGood
safe: Recruitment practicesGood
safe: Safeguarding awarenessGood
effective: Staff training and mandatory refreshersRequires improvement
effective: Supervision and inductionGood
effective: Mental Capacity Act complianceGood
effective: Nutrition and healthcare supportGood
caring: Staff matching and rapportGood
caring: Cultural and personal preferencesGood
caring: Person-centred decision makingGood
caring: Privacy and dignityGood
responsive: Care record accuracy and reviewRequires improvement
responsive: Care planning detailRequires improvement
responsive: Complaints handlingGood
well-led: Governance and quality monitoring systemsRequires improvement
well-led: Leadership and managementGood
well-led: Feedback and improvement cultureGood

Inspection report · 2020-01-29

Framework: KLOE · 16 pages · 78 KB · PDF

Good

safe: Goodeffective: Goodcaring: Goodresponsive: Goodwell-led: Good

Albury Care Limited received a Good rating across all five key questions at this April 2018 inspection, demonstrating sustained improvements since its previous Requires Improvement rating in 2016. The main residual issue was a reliance on staff and service users to self-report delayed or missed visits, which the provider was addressing through recruitment of a dedicated care coordinator.

Concerns (1)

minorGovernance: “the registered manager relied on people using the service to inform them when staff did not turn up or were delayed”

Strengths

· Improvements made since previous inspection in November 2016, resolving breaches related to quality monitoring and staff training
· Staff administered and managed people's medicines safely with completed training and competency assessments
· Regular supervision, appraisal and induction including Care Certificate for new staff
· Person-centred care with consistent staffing teams matched to individuals, supporting dignity, privacy and independence
· Registered manager carried out audits on care planning, risk assessments, medicines management and complaints