Mary Ruth Care, a domiciliary care agency in South Sheffield supporting 27 people, retained its Good rating across all five key questions following a focused inspection prompted by concerns about medicines and staffing. No evidence of harm was found; the provider acted immediately on a recommendation to improve bed rail risk assessments and consent documentation.
Concerns (2)
minor
Care planning
: “the care plans we checked needed clearer information around the positioning of bed rails. A consent to treatment document was signed...but there was no evidence of consent to restraint”
minorRecord keeping: “We discussed with the field manager the need to collate this feedback into reports and newsletters, so people could see any improvements made as a result of their feedback”
Strengths
· People felt safe and staff arrived on time with consistent continuity of care from a core group of staff
· Medicines managed safely with regular staff training, competency assessments and audits
· Robust recruitment processes including DBS checks and pre-employment vetting
· Sufficient staffing levels with company cars provided to reduce burden on staff
· Effective infection control procedures with good PPE stocks
Quality-Statement breakdown (10)
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
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 candourGood
well-led: Managers and staff being clear about their roles, quality performance, risks and regulatory requirements; Continuous learningGood