Community Prospects was rated Good overall with an Outstanding well-led rating, reflecting exceptional leadership, person-centred culture and continuous improvement initiatives. No regulatory breaches or failure themes were identified at this first inspection of the newly registered service.
Strengths
· Exceptional well-led culture with management going to great lengths to support people's mental and physical health
· Robust auditing and quality assurance systems co-produced with people who use the service as 'experts by experience'
· Strong person-centred approach with personalised care plans including communication passports, pronouns, cultural and religious needs
· Effective medicines management with clear PRN protocols, competency checks and dynamic audits
· Safe and effective recruitment practices including DBS checks and references
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
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: 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; respecting equality and diversityGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
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 supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringOutstanding
well-led: Continuous learning and improving careOutstanding
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsOutstanding
well-led: Engaging and involving people using the service, the public and staffOutstanding
well-led: How the provider understands and acts on the duty of candourOutstanding