Prepare4care Ltd was rated Good overall at its first inspection, with people receiving consistent, person-centred care from a regular team of well-trained staff. Safe was rated Requires Improvement due to inconsistent recruitment practices, including incomplete employment histories and unverified gaps, which the registered manager began addressing during the inspection.
Concerns (3)
moderate
Staff competency
: “New staff were not consistently recruited safely. The registered manager took immediate action during and following the inspection to address this.”
moderateRecord keeping: “Full employment histories had not been consistently obtained and satisfactory explanations of gaps in employment had not been addressed.”
moderateGovernance: “One person's work history showed dates of employment different from those on the reference received from the employer. This had not been identified or addressed by the registered manager.”
Strengths
· Regular core team of staff who arrived on time and stayed the required duration, with no missed calls
· Risks to people's health, safety and welfare were assessed, monitored, managed and regularly reviewed
· People received their medicines safely and on time, with staff competency checked by senior staff
· Comprehensive five-day induction and training for staff, including competency checks
· Person-centred, holistic care planning involving people and their relatives
Quality-Statement breakdown (21)
safe: Staffing and recruitmentRequires improvement
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: 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: Staff working with other agencies; supporting people to access healthcareNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting 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; duty of candour; continuous learningNot rated
well-led: Engaging and involving people, the public and staff; working in partnership with othersNot rated