Support Care Services improved since its last inspection and is no longer in breach of regulations, achieving Good ratings across safe, effective, caring and responsive domains. Well-led remained Requires Improvement due to inconsistent application of legal requirements, including failure to notify CQC of all relevant safety concerns and incomplete display of ratings on the provider's website.
Concerns (5)
moderate
Medication management
: “For the second person, staff only recorded the number of tablets given and at what time. They did not record the name of the medicines given at those times which was not best practice.”
moderateRecord keeping: “However, records were not always maintained in a consistent way.”
moderateGovernance: “The registered manager was not always clear about when to tell us about events and incidents involving people.”
moderateLeadership: “service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.”
minorGovernance: “this did not fully meet the legal requirement that the rating from the last inspection be clearly displayed on the provider's website”
Strengths
· Improved recruitment and selection processes ensuring only suitable staff were employed
· Staff received relevant training including specialist training in autism, challenging behaviour and pressure sores
· All staff trained in MCA and associated codes of practice
· People received consistent care from the same staff with whom they had developed good bonds
· Staff treated people with dignity, respect and promoted independence
Quality-Statement breakdown (21)
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Assessing risk, safety monitoring and managementNot 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: Staff support: induction, training, skills and experienceNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot 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 preferences; end of life care and supportNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Continuous learning and improving careNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Working in partnership with othersNot rated