Rosebud Homecare Ltd improved overall from Requires Improvement to Good, with safe and effective practice well-evidenced across medication, recruitment, training and person-centred care. Well-led remains Requires Improvement due to inconsistent documentation, undated care plans and risk assessments, and failure to display the CQC rating as required by law.
Concerns (4)
moderateRecord keeping: “Systems and processes were not in place to evidence how care plans and risk assessments were dated and reviewed. Some risk assessments and care plans were not dated.”
moderateGovernance
: “Systems, processes and information were not always consistent, or easy to access. The format used to document information was not always the same in people's files.”
moderateCare planning: “Some risk assessments had not been fully completed.”
minorGovernance: “The current CQC rating of the service was not displayed within the service. Services are required by law to display their ratings to meet regulations.”
Strengths
· People felt safe and staff understood risks; recruitment practices included DBS checks, references and ID checks.
· Medicine administration records were completed accurately and regularly checked.
· Staff received appropriate training including catheter care, moving and positioning, and infection control.
· People's needs were assessed before care commenced and care plans contained personalised information.
· Electronic call scheduling system in place to monitor staff punctuality and take action if staff were late.
Quality-Statement breakdown (16)
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
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
effective: Ensuring consent to care and treatment in line with law and guidanceGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood