PRM Care Ltd received an overall Good rating at its first inspection, with all five key questions rated Good. The sole area of concern was recruitment governance, where gaps in employment history recording and ineffective recruitment audits prompted a recommendation to strengthen processes.
Concerns (2)
moderate
Governance
: “Audits had not always been completed in relation to staff recruitment, and the recruitment policy was not always being followed.”
moderateRecord keeping: “Gaps in employment and reasons for leaving previous positions working with vulnerable groups were not always recorded.”
Strengths
· Medication managed effectively with electronic MAR records and registered manager oversight
· Staff received safeguarding training and understood how to escalate concerns
· Risk assessments in place for individual health needs and home environments
· Staff training records up to date including mandatory and condition-specific training
· Supervisions completed regularly every 6 weeks with positive staff feedback
Quality-Statement breakdown (20)
safe: Staffing and recruitmentRequires improvement
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
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Continuous learning and improving care; Working in partnership with othersGood