The Cornhill Group Services Ltd received a Good rating across all five key questions in its first CQC inspection, with people and relatives consistently reporting kind, respectful and safe care. Minor recommendations were made regarding staff recruitment record-keeping and the need for more detailed health condition guidance in care plans.
Concerns (3)
minor
Record keeping
: “The registered manager had not kept any interview notes.”
minorCare planning: “One person had diabetes...The person's care plan did not detail what staff might need to look out for if the person's condition was to change.”
minorGovernance: “The registered manager was unable to provide access or find all the documentation required...Some of the documents were not well organised.”
Strengths
· People received consistent care from regular staff who knew them well, with good timekeeping reported by relatives.
· Safeguarding procedures were in place and staff knew how to report concerns appropriately.
· Medicines were administered safely with staff trained and competency-assessed.
· Staff received monthly supervision, annual appraisals, induction and ongoing training.
· Care files were personalised and regularly reviewed to reflect people's changing needs.
Quality-Statement breakdown (23)
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
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 supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff; Continuous learning and improving careGood