Triband Care Services Ltd received a Requires Improvement rating overall following a focused inspection of Safe and Well-led, with a breach of Regulation 17 (Good Governance) identified due to ineffective monitoring systems around medicines management, care planning, and care reviews. Strengths included safe recruitment, effective infection control, and positive safeguarding practices, but repeated failures in governance represent an entrenched pattern across at least three consecutive inspections.
Concerns (8)
criticalMedication management: “Written protocols for the safe use of 'when required' medicines did not always provide staff with enough information to ensure these medicines were managed safely.”
criticalGovernance: “The provider's governance was ineffective to improve the quality of the service delivery. This is a breach of regulation 17, Good governance.”
moderateCare planning: “The care plan did not provide staff with relevant information about the person's health condition, or the importance of suitable and regular meals.”
moderateRecord keeping: “Records showed a number of people did not have an up to date review regarding their care needs and people also raised concerns about this.”
moderateStaff training: “Staff had not received any training relating to other ethnic groups in relation to skin, hair care or health conditions specific to certain ethnic groups.”
moderateStaff competency: “Training records did not provide evidence that the person who carried out these assessments were skilled to do so.”
moderateLeadership: “Quality assurance questionnaires showed people were unaware of who the registered manager was. The provider has obtained a rating of requires improvement 3 times for this key question.”
minorCultural competency: “There was no evidence managers promoted equality and diversity in all aspects of the running of the service.”
Strengths
· Staff supported people to have maximum choice, control and independence over their own lives.
· Effective infection prevention and control measures were in place; staff used PPE appropriately.
· Appropriate recruitment safety checks including DBS checks and references were carried out.
· People felt safe and staff were aware of their safeguarding responsibilities.
· Staff received regular supervision and training relating to people's specific health conditions.
Quality-Statement breakdown (10)
safe: Using medicines safelyRequires improvement
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Systems and processes to safeguard people from the risk of abuseGood
well-led: Managers and staff being clear about their roles, quality performance, risks and regulatory requirementsRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringRequires improvement
well-led: Engaging and involving people using the service, considering equality characteristicsRequires improvement
well-led: How the provider understands and acts on the duty of candourGood