The Caring Choice Limited was rated Good overall, with Safe rated Requires Improvement due to gaps in risk assessment around bed rails and moving and handling guidance. People received person-centred, kind care from a consistent, well-trained staff team led by an experienced registered manager fostering an open culture.
Concerns (5)
moderate
Care planning
: “Risks associated with the use of bed rails had not been thoroughly assessed.”
moderateCare planning: “these care plans needed to include more detail about each piece of equipment and how staff should use it to ensure they moved each person in the safest way.”
minorMedication management: “additional information was needed in people's care plans in respect of 'when required' medicines to ensure staff knew how to recognise when to offer those medicines.”
minorRecord keeping: “one staff file where a staff member's full work history had not been documented at the point of employment”
minorSupervision / appraisal: “Staff were overdue their annual appraisals to review their performance over the past year, however the registered manager had planned to prioritise them.”
Strengths
· Staff were kind and caring and treated people with dignity and respect, with consistent staff teams supporting continuity of care
· Enough staff employed with excellent timekeeping; people received personalised, person-centred care
· Open, transparent culture with effective registered manager and good staff morale
· Effective working with other health and social care professionals
· Robust safeguarding systems and infection prevention with appropriate PPE use
Quality-Statement breakdown (22)
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staff; working in partnership with othersNot rated