Amazing Grace Personnel received an overall Good rating at its first CQC inspection, with four of five key questions rated Good. The sole area of concern was recruitment, where incomplete reference checks created a risk that staff suitability had not been fully verified, resulting in a Requires Improvement rating for Safe.
Concerns (2)
moderate
Staffing levels
: “only one employment references had been requested for two staff and character references had not been requested for any staff.”
moderateRecord keeping: “Records showed pre-employment checks had not been completed in full.”
Strengths
· Sufficient risk assessments in place covering health conditions, falls, infections and danger awareness.
· Staff completed essential training and refresher courses; training matrix maintained for oversight.
· Regular supervisions and appraisals carried out for all staff.
· Person-centred care plans reviewed regularly and signed off by relatives.
· Systems in place to minimise missed or late calls, confirmed by relatives and staff.
Quality-Statement breakdown (23)
safe: Staffing and recruitmentRequires improvement
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyNot rated
safe: Learning lessons when things go wrongGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Preventing and controlling infectionGood
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
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; 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 supportNot rated
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; continuous learning and improving careGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood