Best Choice Global is a small Sheffield domiciliary care provider rated Requires Improvement overall at its first inspection, with four of five key questions rated Good. The Well-led rating was undermined by the absence of a registered manager since June 2021 and failure to notify CQC of statutory changes in a timely manner.
Concerns (3)
moderate
Governance
: “The service did not have a registered manager. There had not been a manager registered with the Care Quality Commission since June 2021.”
moderateGovernance: “The provider had not appropriately reported changes that affected their service or the people using it to CQC in a timely way, in line with the providers' statutory duties.”
minorRecord keeping: “The reasons for a gap in one employee's employment history had not been recorded.”
Strengths
· Medicines were managed safely with staff training and competency checks in place.
· Safe recruitment processes with all pre-employment checks completed before new staff started.
· Care plans were person-centred, documenting individual wishes, cultural and religious needs.
· Staff treated people with dignity and respect; relatives described staff as kind and caring.
· Staff liaised effectively with external healthcare professionals including GPs and community nurses.
Quality-Statement breakdown (22)
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
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: 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: Supporting people to develop and maintain relationships to avoid social isolationGood
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 requirementsRequires improvement
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