AAA Care Solutions Ltd was rated Good overall at this first inspection, with safe, effective, caring and responsive all Good. Well-led was rated Requires Improvement due to quality assurance systems, audits and consent recording not yet being embedded in the newly registered service.
Concerns (5)
moderate
Governance
— “The registered manager could not always be assured systems in operation effectively monitored the quality performance of the service.”
moderateGovernance — “The provider told us they had not as yet completed any audits and planned to review the quality of the service after the first six months.”
moderateConsent / capacity — “the provider acknowledged their assessment process had not always assessed a person's capacity to make their own decisions.”
minorSupervision / appraisal — “The service had not held staff meetings and could not be always assured staff received feedback about their performance or received support with objectives”
minorRecord keeping — “staff completed support records in the person's home, the registered manager relied on visits to the person's home to be able to effectively monitor the quality of support.”
Strengths
· Staff knowledgeable about safeguarding and prevention/reporting of abuse
· Safe recruitment with DBS and reference checks completed
· Medicines managed safely with monthly audits and PRN protocols in place
· Strong infection prevention and control practices including PPE and COVID-19 testing
· Personalised, culturally appropriate care with detailed life histories
Quality-Statement breakdown (18)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Staff working with other agencies; Supporting people to live healthier lives, access healthcare services and supportNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions; Respecting privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving careNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Working in partnership with othersNot rated