Connect 2 Flexicare Head Office achieved an overall Good rating across all five key questions in this focused KLOE inspection covering safe, effective and well-led domains. Minor record-keeping gaps were identified around mental capacity assessments for restrictions and safeguarding notification records, but no regulatory breaches were found.
Concerns (4)
moderate
Consent / capacity
: “people who had lap belts and bed rails did not routinely have a separate mental capacity assessment for each restriction.”
moderateGovernance: “We discussed statutory notifications with the registered manager as we were concerned, we had not been made aware of all events.”
minorRecord keeping: “We found records relating to decisions about notifications could be improved.”
minorSafeguarding: “We recommend the provider seeks advice from a reputable source on ensuring records consistently reflect decisions made about safeguarding concerns.”
Strengths
· People were supported by consistently recruited, DBS-checked staff with thorough induction, training and competency assessment for medicines administration.
· Staff knew people well, recognised signs of emotional distress and applied least-restrictive practices effectively.
· Relatives praised kindness, consistency of care staff, and flexible emergency responses from management.
· The service maintained strong working relationships with external healthcare professionals, described as open, honest and person-centred.
· Individual communication plans were in place and staff demonstrated good awareness of communication needs.
Quality-Statement breakdown (15)
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
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: 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
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; Working in partnership with othersGood
Connect 2 Flexicare received a Good rating across all five key questions at its first inspection following registration in February 2017. The only identified improvement area was the absence of formal recorded supervisions, which the registered manager acknowledged and committed to address.
Concerns (1)
minorSupervision / appraisal: “Formal supervisions were not always carried out by the provider.”
Strengths
· Electronic clock-in system used to monitor staff attendance and reduce risk of missed visits
· Safe recruitment procedures in place including DBS checks, written references and proof of identity
· Medicines managed safely using electronic systems with registered manager able to check charts remotely
· Staff received training tailored to people's specific needs including PEG, autism awareness and challenging behaviour
· People and relatives given remote access to daily care records via the service's electronic system