Miss Sunita Larka t/a Direct Care and Support Services improved from Requires Improvement to Good overall, having remediated all prior breaches of Regulations 4, 12, 17 and 18. The service now demonstrates safe care, strong governance and a person-centred culture for its 8 supported-living personal care recipients with learning disabilities and/or autism.
Strengths
· Risk assessments improved with clear guidance for staff; electronic care planning system introduced ensuring reliable, up-to-date records.
· Medicines management safe with best-practice records, improved checks including for expired medicines.
· Infection control well managed; staff trained in infection control and food hygiene; relatives praised cleanliness.
· Incidents reported clearly with lessons learnt discussed at manager and staff meetings.
· Robust recruitment processes including service user and family involvement in interviews.
Quality-Statement breakdown (10)
safe: Assessing risk, safety monitoring and management; safeguarding from abuse
Good
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Ensuring consent to care and treatment in line with law and guidanceGood
well-led: Managers and staff understanding roles, quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people, the public and staffGood
well-led: Promoting a positive, person-centred, open and inclusive cultureGood