Integrity Care and Support received an overall Good rating at its first inspection, with Safe rated Requires Improvement due to insufficient COVID-19 staff testing frequency and minor recruitment file scrutiny issues. People received person-centred, well-managed care from trained staff and the provider took immediate action to address concerns identified during inspection.
Concerns (2)
moderate
Infection control
: “staff were testing themselves once a fortnight for COVID-19, but not at the required frequency of twice a week for social care workers in line with government policy”
minorRecord keeping: “we found some staff recruitment files where potentially inconsistent and incomplete information from employees had not been properly scrutinised”
Strengths
· Staff were knowledgeable about safeguarding and how to protect people from abuse
· Comprehensive staff training including Care Certificate, PROACT-SCIPr, epilepsy and buccal midazolam administration
· Person-centred care with detailed, individualised care plans regularly reviewed
· Strong, consistent relationships between people and regularly assigned support workers
· Effective medicine management with competency checks and spot checks
Quality-Statement breakdown (23)
safe: Preventing and controlling infectionRequires improvement
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot 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 preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationships to avoid social isolationNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Leaders and the culture they created promoted high-quality, person-centred careNot rated
well-led: Duty of candourNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated