Kare Plus Preston received an overall Good rating across all five key questions at its first inspection of this newly registered location, with people and relatives reporting very positive experiences of kind, respectful and consistent care. Two recommendations were made regarding the need to formalise monitoring of accidents and incidents for trend analysis and to further develop governance and quality oversight systems.
Concerns (4)
moderate
Incident learning
: “they were not consistently monitored to identify lessons learned, themes or trends.”
moderateGovernance: “there was no recorded analysis or reviews completed in a format to see where improvements to the service could be made.”
minorMedication management: “recording of protocols for 'as and when' medicines (PRN) needed to be further developed for staff to follow to ensure PRN medicines were given correctly and safely”
minorRecord keeping: “some of the system had not been fully developed or used to audit aspects of the service.”
Strengths
· Risks were identified and records provided a detailed plan for managing those risks; medicines were administered and managed safely.
· Sufficient numbers of suitably trained staff with consistent visit times; people reported carers were 'always on time' and they had regular carers.
· Staff treated people with respect, dignity and kindness; people were very complimentary about the staff who supported them.
· Care plans demonstrated a person-centred approach and people were involved in developing their needs assessments.
· Staff worked effectively with healthcare professionals including GPs, pharmacists and district nurses.
Quality-Statement breakdown (22)
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongNot rated
safe: Using medicines safelyNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Staffing and recruitmentNot rated
safe: Preventing and controlling infectionNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Continuous learning and improving careNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Working in partnership with othersNot rated
well-led: How the provider understands and acts on the duty of candourNot rated