Libertas HBRS received a Good rating across all five key questions at its first CQC inspection, with inspectors finding safe, person-centred reablement care delivered by well-trained, compassionate staff under inclusive and effective leadership. Minor gaps were noted around awareness of the Accessible Information Standard and clarity on notifying CQC of local authority safeguarding investigations, but neither constituted a regulatory breach.
Concerns (2)
minor
Governance
: “the registered manager sought clarification about about the notification of local authority safeguarding investigations.”
minorCommunication with families: “The registered manager was unaware of the AIS but told us she would incorporate it into the provider's approach for the future.”
Strengths
· Staff were kind, caring and provided warm, person-centred care with strong reablement focus supporting people to regain independence.
· Comprehensive induction and training programme; 100% of staff agreed they had the right support and training to do their job well.
· Effective infection prevention and control measures including PPE provision and weekly staff COVID-19 testing.
· Medicines managed safely with regular senior staff audits of medication records.
· Strong leadership from the registered manager, respected by staff and service users, fostering a positive and open organisational culture.
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: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
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: Staff working with other agencies to provide consistent, effective, timely careGood
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
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supportedGood
caring: Respecting and promoting people's privacy, dignity and independence; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
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: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staff; working in partnership with othersGood
well-led: Managers and staff being clear about their roles; continuous learning and improving careGood