Fylde Community Care Limited was rated Good overall at its November 2022 inspection, with both Safe and Well-led key questions rated Good, maintaining its previous Safe rating and improving Well-led from Requires Improvement. Two recommendations were made regarding more person-centred risk assessment recording and improved quality assurance auditing systems, though neither constituted a regulatory breach.
Concerns (2)
minorCare planning: “not all risk assessments were recorded in a person-centred way.”
minorGovernance: “records of checks were kept in people's plans and staff files making it difficult to audit.”
Strengths
· People felt safe and received care from a consistent, regular staff team who knew their needs well.
· Medicines were managed safely with staff trained and competent to administer them.
· Infection control policies met current national guidance including COVID-19 risk assessments.
· Recruitment systems ensured staff were safe to work with people with all required information on file.
· The registered manager adopted a hands-on approach and was highly regarded by staff and people using the service.
Quality-Statement breakdown (11)
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
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, fully considering their equality characteristicsGood
well-led: Continuous learning and improving careGood
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