Wellbeing Care Solutions Ltd is rated Good overall following a December 2022 remote inspection, with improvements since the previous Requires Improvement rating in 2020 across safe, effective and well-led domains. Well-led remains Requires Improvement due to gaps in specialist staff training, absence of call monitoring records, undocumented induction shadowing, and no formal records of care reviews involving people and relatives.
Concerns (3)
moderate
Staff training
: “The risk assessment for one person's care included the need for staff to receive specific training. The provider acknowledged this had not been completed because they had experienced difficulties in sourcing the required training.”
moderateRecord keeping: “There was no system in place to show that calls times and call lengths had been monitored... there was no record of this, to record the induction and what shadowing had been given.”
minorGovernance: “There was no record of reviews involving people and their relatives. Recording reviews gives people and their relatives a formal way of sharing their feedback.”
Strengths
· Consistent staffing enabled strong relationships between care workers and people supported, with relatives rating the service '10/10'
· Safe recruitment practices in place including DBS checks, references, and identity verification
· Medicines managed safely with monitoring arrangements and appropriate supervisory action when records incomplete
· Staff knowledgeable in safeguarding procedures and infection control, adhering to PPE guidance
· Person-centred care with personalised care plans including communication preferences and end of life wishes
Quality-Statement breakdown (22)
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: Ensuring consent to care and treatment in line with law and guidanceGood
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: Supporting people to live healthier lives, access healthcare services and supportGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
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 empoweringRequires improvement
well-led: How the provider understands and acts on the duty of candour; continuous learning and improving careGood