Aspire Support, a domiciliary care and supported living service, was rated Good overall following a focused inspection prompted by a death notification, with safe, effective and well-led each rated Good. Inspectors found people received safe, person-centred care, though noted minor improvements needed in consolidating risk information and detail in care records, which the provider addressed promptly.
Concerns (4)
minorRecord keeping: “some information about people's risks were located in a number of different places. For example, within people's care plans.”
minorCare planning
: “We identified some areas within people's care records, such as guidance provided to staff to support people to remain safe, which required more detail.”
minorGovernance: “The provider and registered manager told us they would continue to develop their governance systems, to ensure staff were consistently provided with the level of guidance required”
minorIncident learning: “We discussed the importance of ensuring the correct identification was on all statutory notifications prior to submitting.”
Strengths
· People felt safe and were supported by staff who knew them well
· Safe medicines management with trained staff and competency checks
· Effective infection prevention and control measures in line with COVID-19 guidance
· Person-centred care promoting choice, dignity and independence (Right Support, Right Care, Right Culture)
· Staff trained in MCA and DOLS, respecting people's consent and choices
Quality-Statement breakdown (17)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies; supporting people to access healthcareNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
well-led: Promoting a positive, person-centred, inclusive and empowering cultureNot rated
well-led: Duty of candour and openness when things go wrongNot rated
well-led: Managers and staff being clear about roles, quality, risks and regulatory requirementsNot 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