Daryel Care Lambeth's overall rating improved from requires improvement to good, with all five key questions rated good following improvements to staffing hours and auditing systems. Minor concerns remained around staff awareness of external whistleblowing routes and MCA understanding, which the registered manager agreed to address through refresher training.
Concerns (2)
minor
Safeguarding
: “we found that some staff were not clear on the external agencies they could contact should they need to whistle blow.”
minorConsent / capacity: “staff were not always clear in their understanding of the MCA and how it applied to their day to day work.”
Strengths
· 91% of 28519 calls logged were on time in January and February 2022
· Safe recruitment with DBS checks, applications, interviews and references
· Medicines administered as intended by the prescribing G.P. with clear MAR records
· Robust infection prevention and control practices including PPE and COVID-19 measures
· Staff treated people with kindness, respect, dignity and promoted independence
Quality-Statement breakdown (22)
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated