Focused inspection of safe and well-led key questions found Helping Angels Ltd remained Good overall, with safe recruitment, robust risk management and an open learning culture. Minor issues with medication patch rotation recording and MAR gaps were identified and promptly addressed by the registered manager.
Concerns (4)
moderateIncident learning: “a concern had been raised due to the delay in the length of time incidents were being reported back to management.”
minorMedication management: “The system in place for recording where on the body analgesic skin patches were being applied was not sufficient to demonstrate where on the body they were being rotated”
minor
Medication management
: “There were a small number of gaps on the medication administration recording system (MAR).”
minorCommunication with families: “we noted how the response levels for earlier in the year were low. We recommended the provider use different formats such as verbal feedback and pictorial methods”
Strengths
· People felt safe with staff and confident in the care provided
· Safe recruitment with comprehensive pre-employment checks and induction
· Robust risk assessments updated regularly, including moving and handling and nutrition
· Staff trained in safeguarding and confident in reporting concerns
· Robust medication audits identifying and addressing discrepancies
Quality-Statement breakdown (12)
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
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Duty of candourNot rated
well-led: Managers and staff being clear about their roles, quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated