Your Quality Care Services Limited (Gradwell) was rated Good overall and across all five key questions, with people reporting they felt safe, were supported by regular punctual staff and received kind, person-centred care. Minor development areas were identified around end of life care training and reinforcing lone working procedures with all staff.
Concerns (2)
minor
Staff training
: “this area was touched on as part of other learning, but they felt it was an area that could possibly be developed for staff.”
minorCommunication with families: “they referred to procedures that staff had not mentioned. The NI said they would reiterate the procedures to all staff to make sure they were reminded of how to stay safe on lone visits.”
Strengths
· People felt safe and were supported by a regular team of staff who arrived on time and stayed for the allocated call time
· Safe medicines management with monthly audits and competency assessments for staff
· Safe recruitment processes including DBS checks, references and full employment history
· Staff received induction, regular training, supervision, spot checks and monthly meetings
· Person-centred care plans that were regularly updated and accessible in both the office and people's homes
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
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: 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: Continuous learning and improving care; Working in partnership with othersGood