Newdon Care Services Limited (Leeds) received an overall rating of Good across all five key questions at its first CQC inspection in November 2022. Minor shortcomings were noted in the detail of the governance action plan and the absence of documented end-of-life wishes in care plans, but no regulatory breaches were identified.
Concerns (2)
minor
Governance
: “the action plan lacked detailed. The action plan was personalised to the service however there some of the issues and actions taken were not clear.”
minorEnd-of-life care: “care records did not reflect people's needs and preferences. Care plans did not document end of life wishes.”
Strengths
· Staff were up to date with safeguarding training and a safeguarding tracker was in place
· People received their medicines as prescribed and staff competencies were regularly checked
· Staff had adequate time for visits and there was no evidence of missed or late visits
· Care plans clearly documented people's needs, preferences, capacity and goals
· Staff received regular supervision, competency checks and up-to-date mandatory training
Quality-Statement breakdown (17)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
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: 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
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staff; Working in partnership with othersGood