Inn Care Ltd received an overall Good rating at its first inspection, with staff delivering safe, caring and effective support to two people in their own homes. The Well-Led domain was rated Requires Improvement due to the prolonged absence of a registered manager since November 2019 and care records that lacked sufficient detail to consistently guide staff practice.
Concerns (5)
critical
Leadership
: “The provider did not have a registered manager in post since November 2019 but had recruited a new manager the week before our inspection.”
moderateRecord keeping: “records lacked enough detail about the support needed for pressure care and use of the hoist.”
moderateGovernance: “The provider had systems in place to monitor, assess and improve the quality and safety of the service being provided but this needed development.”
moderateCare planning: “Staff had good knowledge of people's current care needs but care documents did not consistently reflect this knowledge.”
moderateIncident learning: “The provider had introduced numerous measures to protect people and staff in regard to COVID-19 but had not completed individual written risk assessments for staff.”
Strengths
· Staff demonstrated safeguarding awareness and knew how to recognise and report abuse; relatives confirmed people received safe care.
· Safe recruitment practices including DBS checks and references were in place.
· Staff consistently wore appropriate PPE and received regular infection prevention and control training.
· Relatives reported staff were always on time or communicated delays proactively.
· Staff induction included online training and shadowing; care workers described training as thorough and support as 'brilliant'.
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
safe: Using medicines safelyGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
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 care; Supporting people to live healthier livesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
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: 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, understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Working in partnership with others; Continuous learning and improving careGood