Carepride Limited achieved a Good overall rating at this focused inspection, demonstrating significant improvements across safe and well-led domains since its previous Requires Improvement rating in December 2019. The provider successfully addressed prior breaches of Regulations 13 and 17, implementing effective call monitoring, strengthened auditing systems, and robust safeguarding processes.
Strengths
· Significant improvements made since September 2019 inspection, with no longer any breach of regulations
· New live computerised call monitoring system introduced; no missed visits identified at this inspection
· Effective safeguarding systems in place; five referrals appropriately made to local authority this year
· Medicines administered by trained staff with regular competency checks and monthly medicines audits
· Robust infection control procedures including COVID-19 training, PPE use, and regular staff testing
Carepride Limited received a Good rating across all five key questions at its December 2016 inspection, with no breaches of regulation identified. The service was distinguished by an exceptionally caring culture, strong person-centred practice, effective governance, and staff who consistently exceeded their contracted roles to improve people's lives.
Strengths
· Staff were highly motivated, proud of their work, and consistently went above and beyond their roles to support people and their families.
· Strong continuity of care with consistent staff allocation, and plans to further enhance this through a key worker system.
· Robust safeguarding awareness, with clear incident reporting, body map recording, monthly audits, and evidence of learning from incidents.
· Safe medicines management with competency-based sign-off and practical reviews by the registered manager.
· Thorough, person-centred care planning involving people, families and external professionals from the outset.
Carepride Limited was rated Requires Improvement overall following a September 2019 inspection, with breaches of Regulation 13 (safeguarding) and Regulation 17 (good governance) identified due to unreported safeguarding concerns, undetected missed visits, and ineffective quality audits. The service demonstrated strengths in staff consistency, training, person-centred care, and effective partnership working, with Caring, Effective, and Responsive domains all rated Good.
Concerns (5)
criticalSafeguarding: “we found some concerns which had not been reported. An example included a serious medicines error which involved a team of staff.”
criticalMissed or late visits: “the service had failed to identify when people's visits had been missed...One person's visit was missed in September 2019 due to the over sight of the visit by the member of staff.”
criticalGovernance: “The lack of quality assurance systems that identified monitored and mitigated risks were a breach of Regulation 17 Health and Social Care Act 2008.”
moderateRecord keeping: “People's care records were not always up to date to reflect the changes of people's needs...one person's support plan stated they self-medicated. However...staff administered the person's medicines.”
moderateCare planning: “one person who the service supported lived with dementia. The person's support plan did not reflect upon how the person's dementia had impacted them.”
Strengths
· People received consistent support from trained care staff who knew them well and staff received regular supervision meetings and internal staff meetings.
· Staff supported people to eat and drink enough and to access healthcare services, including liaising with district nurses and other professionals.
· People praised the quality of service and staff were described as kind, caring and respectful.
· People were empowered to be independent and care was personalised to their wishes, preferences and interests.
· Safe recruitment practices in place including DBS checks and references.
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseRequires improvement
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
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: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourRequires improvement
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; working in partnership with othersGood