Adriel Care Limited received an overall Good rating at its October 2022 inspection, with Safe and Well-led rated Good and Effective rated Requires Improvement due to care plans not reflecting strengths-based approaches or positive behaviour support for people with a learning disability and autistic people. The service demonstrated strong governance, transparent care recording, responsive complaints handling, and safe medicines management, but received recommendations to update safeguarding policies and develop person-centred planning for its evolving client group.
Concerns (4)
moderateCare planning: “assessments and care plans did not focus on people's strengths as is best practice for people with a learning disability and autistic people, nor reference the principles of positive behaviour support.”
moderatePerson-centred care: “assessments and care plans followed a format typical of domiciliary care for older or physically frail people...whilst people's care was individualised and their needs were met.”
minorSafeguarding: “policies for safeguarding adults and children...did not reference local multi-agency safeguarding policies and procedures and did not include correct contact details for making safeguarding referrals.”
minorConsent / capacity: “The policies and systems in the service required review and updating to support this practice.”
Strengths
· People and relatives felt safe with staff they had come to trust, with consistent small teams providing care.
· Robust medicines management including computerised alerts for missed doses and annual competency assessments.
· Strong complaints handling with management investigating concerns promptly and acting on family feedback.
· Computerised care planning system introduced, improving transparency and accountability to people and relatives.
· Effective recruitment process including DBS checks, references and proof of right to work.
Quality-Statement breakdown (15)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Learning lessons when things go wrongGood
safe: Using medicines safelyGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
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 lawRequires improvement
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: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood