Next Steps Ltd, a supported living and domiciliary care agency for six people, was rated Good overall following a focused inspection of Safe and Well-led prompted by anonymous neglect concerns that were not substantiated. Well-led improved from Requires Improvement to Good, with strong person-centred culture, safe medicines management and effective governance.
Strengths
· People received person-centred care that was stimulating and followed their preferences
· Safe medicines administration with competency assessments, stock counts and MAR checks each shift
· Registered manager implemented STOMP principles to avoid over-medication
· Robust safeguarding processes; staff trained and confident to escalate concerns
· Safe recruitment, induction and training practices with sufficient staffing levels
Quality-Statement breakdown (11)
safe: Systems and processes to safeguard people from the risk of abuse
Good
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
well-led: Promoting a positive, person-centred cultureGood
well-led: Duty of candourGood
well-led: Managers and staff clear about roles, quality, risks and regulatory requirementsGood
well-led: Engaging and involving people, public and staff; continuous learningGood