Mike Riglin Nursing is a Good-rated domiciliary care agency supporting 27 people, achieving Outstanding in Caring due to an exceptional person-centred culture where staff consistently go above and beyond, with the sole minor gap being incomplete initial assessment of protected characteristics under the Equality Act, which was promptly remedied during the inspection.
Concerns (1)
minor
Cultural competency
: “People's protected characteristics under the Equalities Act 2010, such as gender, religion, sexual orientation, and ethnicity were not always assessed as part of people's needs.”
Strengths
· People and families without exception praised staff as warm, caring and compassionate, consistently going 'above and beyond'.
· Consistent staffing arrangements with strong continuity of care; staff rarely missed or were late for visits.
· Medicines managed safely with regular MAR audits, competency checks, and detailed care plan guidance.
· Outstanding person-centred culture with staff matched to people based on compatibility, shared interests and personality.
· Effective multi-agency working with occupational therapy, district nurses, speech and language therapy and other professionals.
Quality-Statement breakdown (24)
safe: Systems and processes to safeguard people from the risk of abuse and avoidable harmGood
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: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting 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 ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
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, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood
well-led: Continuous learning and improving careGood