First inspection of De Vere Care Partnership under the new provider rated Good across all five key questions, with safe, person-centred domiciliary care supported by trained staff and strong leadership. Minor issues were noted around outdated incident reporting forms, call monitoring discrepancies and recruitment record presentation, all being addressed by the provider.
Concerns (3)
minor
Incident learning
: “We noted the accident and incident form being used was a version used by the previous provider, which had not been developed or updated since 2014.”
minorRecord keeping: “the provider had identified technical issues with their call monitoring system and staff did not always log their calls.”
minorRecord keeping: “staff recruitment files contained correction marks on them which were made following audits. This meant the files were not always easy to read.”
Strengths
· Effective safeguarding systems and trained staff who understood reporting procedures
· Detailed and regularly reviewed risk assessments, including for complex needs such as PEG feeds
· Safe medicines management with competency assessments, MAR audits and spot checks
· Sufficient and punctual staffing with safe recruitment checks
· Person-centred care plans reflecting cultural, spiritual and communication needs
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot 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 live healthier lives, access healthcare services and support; working with other agenciesNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot 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 requirements; Continuous learning and improving careNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated