Pannonia Care remains rated Requires Improvement for the second consecutive inspection, with a continued breach of Regulation 17 due to inadequate medicines records, poor recruitment practices, and ineffective governance and quality assurance processes. Caring, responsive, and effective practice were rated Good, with people reporting positive experiences and flexible, person-centred care delivery.
Concerns (7)
critical
Medication management
: “the dosage and frequency between doses was not recorded which meant the person could be given more medicines than was safe.”
criticalGovernance: “continued breach of Regulation 17 (Good governance)...medicines records were not robust and good recruitment processes were not being followed.”
criticalRecord keeping: “Records were not completed accurately or well maintained. This was a continued breach of Regulation 17 of the Health and Social Care Act 2008.”
moderateStaff training: “the registered manager employed staff, they were not following their own internal policies by ensuring staff undertook mandatory training before commencing in the role.”
moderateLeadership: “The service lacked vision and appropriate planning for how good outcomes for people would be achieved.”
moderateStaffing levels: “A staff member had been employed without appropriate DBS checks being applied for.”
minorCare planning: “There was a short history about 1 person in their care plan, but little other detail...the registered manager was unable to tell us the details of both of those agencies.”
Strengths
· Risks to people had been identified and suitable guidance was in place to help reduce those risks.
· People felt safe in staff hands and relatives confirmed staff wore personal protective equipment when needed.
· People received person-centred care; registered manager was flexible in adapting call times and activities to individual preferences.
· Staff showed a caring and respectful approach and good relationships had been developed with people.
· People were supported to have maximum choice and control of their lives in the least restrictive way.
Quality-Statement breakdown (19)
safe: Using medicines safelyRequires improvement
safe: Staffing and recruitmentRequires improvement
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongGood
safe: Preventing and controlling infectionGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
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
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
responsive: Planning personalised care to ensure people have choice and control; End of life care and supportGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships; support to follow interests and activitiesGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Managers and staff being clear about their roles; quality performance, risks and regulatory requirements; Working in partnership; Continuous learningRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringRequires improvement
well-led: Engaging and involving people; duty of candourGood