SJW The Wright Care received a Good rating across all five key questions at this June 2016 KLOE inspection, demonstrating safe, person-centred care with a compassionate and well-supported staff team. Minor shortfalls were identified in Mental Capacity Act documentation and the robustness of internal audit systems, both of which the registered provider moved to address immediately following the inspection.
Concerns (4)
moderate
Record keeping
: “we found the documentation that should be used to show how the decision had been made, and who was involved in this, had not been completed.”
moderateGovernance: “We found the auditing of some forms was not sufficiently robust to identify errors and where any improvements were needed.”
moderateConsent / capacity: “the documentation that should be used to show how the decision had been made, and who was involved in this, had not been completed.”
minorCare planning: “Some care workers made suggestions about how they thought these could be made more personalised and easier to use...including showing choices people made.”
Strengths
· People felt safe and staff demonstrated good knowledge of safeguarding procedures and reporting pathways.
· Sufficient staffing levels maintained, with flexible cover arrangements to manage unplanned absences.
· Staff were trained and competency-assessed in medicines administration; only two minor errors in 12 months.
· People were treated with dignity and respect, with independence actively promoted during care visits.
· Strong person-centred approach with people involved in care planning and regular reviews every two months.
SJW The Wright Care is an Outstanding-rated domiciliary care agency serving 24 people, recognised for its exceptionally person-centred, compassionate care and highly effective leadership. The only minor finding was an absence of interview records in some recruitment files; no regulatory breaches were identified.
Concerns (1)
minorRecord keeping: “We recommended that the provider ensures interview records are maintained going forward as these were not readily available in all files we viewed.”
Strengths
· Exceptionally person-centred care with staff going above and beyond, evidenced by numerous accounts from people and relatives
· Outstanding flexibility in responding to people's rapidly changing needs to support them to remain in their own homes
· Superbly written care plans reflecting individual preferences and small important details
· Strong community partnerships including with the fire service, local charities, and health and social care professionals
· Highly supportive management team caring for both people using the service and staff wellbeing
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
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: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; equality and diversityOutstanding
caring: Supporting people to express their views and be involved in making decisions about their careOutstanding
caring: Respecting and promoting people's privacy, dignity and independenceOutstanding
responsive: Planning personalised care to meet people's needs, preferences, interests and give them choice and controlOutstanding
responsive: Improving care quality in response to complaints or concernsOutstanding
responsive: End of life care and supportOutstanding
well-led: Planning and promoting person-centred, high-quality care and support; duty of candourOutstanding
well-led: Working in partnership with othersOutstanding
well-led: Engaging and involving people using the service, the public and staffOutstanding
well-led: Continuous learning and improving careOutstanding
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsOutstanding