NK Care Limited was rated Requires Improvement overall at its first inspection, with breaches of Regulations 11, 12 and 17 identified relating to consent recording, risk assessment detail and governance systems. Strengths were noted in caring and responsive domains, with staff demonstrating kindness, personalised care planning and safe medicines management.
Concerns (5)
critical
Care planning
: “for one person living with diabetes, their risk assessment did not contain clear and specific instructions for staff about what to do if the person became unwell.”
criticalConsent / capacity: “The registered manager had not sought and recorded people's consent to receiving care and support. When we requested evidence of signed consent forms...these were not provided.”
criticalGovernance: “The registered person had not established an effective system to enable them to ensure compliance with their legal obligations and the regulations.”
moderateRecord keeping: “there were no records of these interactions [with healthcare professionals].”
moderateGovernance: “Some key information had not been included such as timescales to complete actions and the names of the senior staff responsible for completing the actions.”
Strengths
· Medicines were managed safely with evidence-based systems and prompt reporting of errors.
· Staff completed thorough pre-employment checks including DBS, references and employment history.
· People had caring relationships with staff who promoted dignity, respect and independence.
· Care plans were personalised, written from the person's perspective and involved people and families.
· End of life care plans were in place, personalised and reflective of people's preferences.
Quality-Statement breakdown (21)
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Ensuring consent to care and treatment in line with law and guidanceRequires improvement
effective: Staff working with other agencies to provide consistent, effective, timely careRequires improvement
effective: Assessing people's needs and choices; delivering care in line with standardsGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
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 controlGood
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: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Engaging and involving people using the service, the public and staffGood
well-led: How the provider understands and acts on the duty of candourGood