365 Support Services is rated Good overall following a focused inspection of safe, effective, and well-led domains, with caring and responsive ratings carried forward from 2018. Well-led requires improvement due to audit gaps, outdated policies, and insufficient independence in quality assurance surveys, though person-centred care and staff culture were noted as genuine strengths.
Concerns (5)
moderate
Care planning
— “further information was required in peoples' support records... key information was not included in a person's hospital passport.”
moderateGovernance — “where shortfalls had been identified, it was not always clear what action was planned to address the shortfall, such as a date for completion.”
moderateRecord keeping — “Audits had not always identified that information about safety was not as comprehensive as it should have been... information about people's skin integrity management and mobilisation requirements.”
moderateSafeguarding — “the Safeguarding policy referred to the Local Authority's No Secrets guidance (published 2000), which has now been replaced by statutory guidance issued under the Care Act 2014.”
minorPerson-centred care — “we could not be assured people had completed these surveys independently, as surveys had been completed by the manager.”
Strengths
· People received medicines from staff who were competent to administer them, with guidance for 'when required' and variable dosage medicines.
· Staff received specialised training tailored to individual people's needs, including shadow shifts with experienced staff.
· A positive approach to risk management respected people's choices rather than simply restricting activities.
· Staff supported people in line with MCA principles; consent was sought before providing care or support.
· The service worked in partnership with external health care agencies to achieve positive outcomes, including avoiding hospital admissions.
Quality-Statement breakdown (15)
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Preventing and controlling infectionGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safelyGood
safe: Staffing and recruitmentGood
effective: Staff support: induction, training, skills and experienceGood
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: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Engaging and involving people using the service, the public and staffRequires improvement
well-led: Continuous learning and improving careGood
well-led: Planning and promoting person-centred, high-quality care and supportGood