Axela Care was rated Requires Improvement overall following an August 2016 inspection, with Warning Notices issued for breaches of Regulations 17 and 19 due to fabricated staff references going undetected by the provider's audit systems. Care delivery across effective, caring, and responsive domains was rated Good, with staff demonstrating competence, compassion, and personalised support.
Concerns (3)
critical
Staffing levels
: “two staff had references from a referee they did not name in their application on behalf of an employer they had not worked for”
criticalGovernance: “The provider's auditing systems failed to detect unsafe documentation within staff files.”
criticalRecord keeping: “The provider failed to maintain records as are necessary in relation to persons employed in the carrying on of the regulated activity.”
Strengths
· People had their risks assessed and plans were in place to manage them.
· Staff understood safeguarding and whistleblowing procedures and knew actions to take to keep people safe.
· People were supported to take their medicines as prescribed with accurate administration records.
· Staff were supervised and received training including dementia awareness, moving and handling, and infection control.
· People's rights under the Mental Capacity Act 2005 were upheld and consent was sought before care.
Quality-Statement breakdown (18)
safe: Recruitment processesRequires improvement
safe: Risk assessment and managementGood
safe: Safeguarding proceduresGood
safe: Medicines managementGood
safe: Infection controlGood
effective: Staff training and inductionGood
effective: Staff supervisionGood
effective: Consent and Mental Capacity ActGood
effective: Nutrition and healthcare accessGood
caring: Kindness and respectGood
caring: Privacy and dignityGood
caring: Person-centred preferencesGood
responsive: Care planning and personalisationGood
responsive: Record keeping and daily notesGood
responsive: Complaints handlingGood
well-led: Governance and audit systemsRequires improvement
well-led: Registered manager leadershipGood
well-led: Collaboration with external professionalsGood