Advanced Care Yorkshire Limited improved from Requires Improvement to Good overall, with previous breaches of Regulations 17 and 18 resolved. Some concerns remained around late calls due to staffing pressures and supervisions/spot checks not always being up to date.
Concerns (3)
moderateMissed or late visits: “Some people told us calls were sometimes late. We raised this with the provider who acknowledged this feedback and told us they were working towards recruiting more staff to alleviate shortages.”
moderateStaffing levels: “There were sufficient staff deployed to meet people's current needs, but two people raised lateness of calls as an issue.”
minorSupervision / appraisal: “Spot checks and supervisions were not always up to date, but staff told us they felt supported by the management team.”
Strengths
· Effective recruitment procedures with checks completed before staff started
· Medicines administered safely with regular audits and competence checks
· Comprehensive induction and regular training for staff
· Person-centred, detailed care plans reviewed and updated as needs changed
· Effective infection prevention and control systems
Quality-Statement breakdown (20)
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Assessing people's needs and choicesNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
responsive: Planning personalised care to meet needs and preferences; end of life careNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Duty of candourNot rated
well-led: Promoting a positive, person-centred cultureNot rated
well-led: Engaging and involving people, public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated