Royale Carers Limited improved from Requires Improvement to Good following a focused inspection of Safe and Well-Led, with the provider no longer in breach of Regulation 19. Minor concerns remained around documenting risks in care plans and out-of-date medicines training, but staff knowledge, safeguarding and management oversight were assessed as strong.
Concerns (4)
moderateCare planning: “risks for people were not always identified and recorded in relation to people's care and support needs”
moderateRecord keeping: “Additional information was required to demonstrate how risks to a person's wellbeing and safety were to be mitigated.”
minorStaff training
: “Staff had received medicines training. However, we found some training was out of date.”
minorMissed or late visits: “People told us there were times when staff arrived later than planned.”
Strengths
· Robust staff recruitment and selection practices, no longer in breach of Regulation 19
· Suitable safeguarding arrangements with staff understanding how to raise concerns
· Effective medication audits enabling errors to be identified and lessons learned
· Strong infection prevention and control with adequate PPE supplies
· Positive, person-centred culture with supportive and approachable management
Quality-Statement breakdown (9)
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safely; Learning Lessons when things go wrongNot rated
safe: Preventing and controlling infectionNot rated
well-led: Promoting a positive culture; continuous learning; duty of candourNot rated
well-led: Managers and staff being clear about their rolesNot rated
well-led: Engaging and involving people, public and staffNot rated
well-led: Working in partnership with othersNot rated