Home's Best received a Good rating across all five key questions at its first CQC inspection in April 2021, with 18 people receiving personal care. A recommendation was made regarding recruitment processes where some pre-employment checks were incomplete, and minor gaps were noted in formal documentation of mental capacity assessments.
Concerns (3)
moderate
Governance
: “Safe recruitment procedures were not always followed. On occasions, these had not been thorough enough. Some checks with previous employers in health and social care...had not been made.”
minorRecord keeping: “Although the registered manager routinely assessed people's capacity and held best interest discussions with key people, this was not always formally documented.”
minorStaff training: “Plans for senior staff to receive nationally accredited training in this area had been delayed because of the COVID-19 pandemic.”
Strengths
· People felt safe and staff demonstrated a good understanding of safeguarding responsibilities.
· Medicines were managed safely with regular audits and competency checks for staff.
· Care plans were person-centred, up-to-date and regularly reviewed with input from people, relatives and health professionals.
· Staff were kind, respectful and promoted people's dignity, independence and involvement in care decisions.
· Effective end of life care was provided, working closely with relatives and healthcare professionals.
Quality-Statement breakdown (22)
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
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: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting 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 controlGood
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: 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
well-led: Engaging and involving people using the service, the public and staffGood