Odara Care Limited improved its overall rating to Good, with safe practices well-embedded and person-centred care consistently delivered to a small cohort of two people. However, the well-led domain remains Requires Improvement due to insufficiently detailed audit processes, inconsistent incident learning communication, and limited external partnership development.
Concerns (5)
moderateGovernance: “Audits and reflections on incidents were not detailed enough and there was a reliance on informal lessons learned.”
moderateIncident learning: “Learning from things that went wrong or unexpectedly needed to be communicated more consistently.”
moderate
Safeguarding
: “Not all staff we spoke with understood the local authority's safeguarding arrangements, and who to call (other than the registered manager) if they had safeguarding concerns.”
minorRecord keeping: “We found a small number of instances of recording where staff had not been specific enough about what had occurred.”
minorCare planning: “Risk assessments were in place. Where improvements could be made to make these risk assessments more person-centred, the registered manager was receptive to feedback.”
Strengths
· Staff responded promptly to incidents and accidents and reported them appropriately.
· People received consistent person-centred care from staff who knew them well.
· Positive feedback from relatives and external agencies.
· Staff received a blend of online and in-person training and had the skills to support people safely.
· Sufficient staffing levels with reliable, consistent care delivery.
Quality-Statement breakdown (10)
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
well-led: Promoting a positive culture; Continuous learning and improving careRequires improvement
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles; Working in partnership with othersRequires improvement
well-led: Engaging and involving people using the service, the public and staffGood