Caremark (Harrogate) improved from Requires Improvement to Good overall following significant changes under new ownership from July 2022, with breaches of Regulations 12 and 17 remediated. Well-led remains Requires Improvement as governance systems were only introduced in December 2022 and had not yet been fully embedded.
Concerns (4)
moderate
Governance
: “Caremark (Harrogate) has been rated requires improvement or inadequate in the well-led domain since 2017. Although systems and processes were now in place, these had only been introduced in December 2022.”
minorMedication management: “Where people were prescribed topical medicines, such as creams, it was not always clearly recorded which areas this should be applied.”
minorRecord keeping: “Records did not always clearly reflect action that had been taken to seek medical support when needed.”
minorIncident learning: “Audits had identified a low number of accidents and incidents being reported by staff... the provider had plans in place to provide further staff training to ensure records were thorough.”
Strengths
· Significant improvements made since last inspection; people received calls at regular times with consistent staff.
· Safe recruitment processes in place; new staff completed thorough induction including the Care Certificate.
· Medicine management systems improved with robust processes and staff competency assessments.
· Staff received safeguarding training and were confident concerns would be appropriately addressed.
· Positive culture created under new ownership; open-door policy and staff feel valued and supported.
Quality-Statement breakdown (13)
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongGood
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Staffing and recruitmentGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringRequires improvement
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood