Adele Care Services Limited received an overall rating of Requires Improvement at its first inspection, with a regulatory breach under Regulation 12 due to missing or insufficiently detailed risk assessments for diabetes, hypertension and falls. Care, responsiveness and effectiveness were all rated Good, with people reporting positive experiences and safe medicines management.
Concerns (4)
critical
Care planning
— “one support plan stated the person had diabetes, however there was no information or guidelines in place for staff to follow should they have a hypo or hyper glycaemic attack.”
criticalCare planning — “there was no risk assessment in place detailing guidance on how to support the person safely and minimise the risk of potential falls and actions to take should the person fall.”
moderateGovernance — “there were limited audits in place to monitor the quality of service...we found improvement was needed in relation to assessing risk.”
moderateRecord keeping — “there was still insufficient detail in relation to the symptoms and signs staff should be aware of should there be any changes with the person's blood pressure and blood sugar levels.”
Strengths
· People felt safe and spoke positively about the service; safeguarding and whistleblowing policies were in place and staff understood their responsibilities.
· Medicines were managed safely with appropriate records and trained staff.
· Safe recruitment practices including DBS checks were followed before the registered manager commenced work.
· Staff received mandatory training, supervision, and competency spot checks by the nominated individual.
· People's privacy, dignity and independence were respected and person-centred care plans reflected individual preferences.
Quality-Statement breakdown (21)
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
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 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 supportNot rated
well-led: Promoting a positive culture; duty of candour; roles and governanceRequires improvement
well-led: Engaging and involving people; continuous learning and improving careGood