St Georges Home Care Ltd improved from Requires Improvement to Good following a focused inspection of Safe, Responsive and Well-led domains, having remediated previous breaches of Regulations 12 and 17. Minor recruitment record-keeping shortcomings were identified, resulting in a recommendation on safe recruitment practices, but no regulatory breaches were found at this inspection.
Concerns (3)
minorStaff training: “for some staff, we found gaps in their employment history...scrap notes, part of which were unclear, containing information around employment histories”
minorRecord keeping
: “for two members of staff, we found that one of their references were from colleagues who worked at the service. It was not clear in what capacity these employees were known”
minorMedication management: “We found some minor inconsistencies around the recording of the administration of some medicines which the service had already identified during their medicines audits”
Strengths
· Comprehensive risk assessments with clear guidance covering multiple risk areas including diabetes, moving and handling, and skin integrity
· Person-centred care plans containing life histories, preferences, goals and detailed communication needs
· Effective scheduling system with real-time monitoring of care visits to prevent lateness and rushing
· Strong complaints management with documented investigations, actions and lessons learnt
· Active quality assurance through audits, spot checks and satisfaction surveys driving continuous improvement
Quality-Statement breakdown (15)
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
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
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood
well-led: Continuous learning and improving care; Working in partnership with others; Duty of candourGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood