Pearl Residence Office achieved a Good rating across all five key questions at its first inspection in November 2022, with one person receiving person-centred care from the registered manager who demonstrated sound governance and compliance. Minor gaps in care plan recording of life history and protected characteristics were identified and promptly addressed during the inspection.
Concerns (2)
minor
Care planning
: “whilst the registered manager could explain people's life, history and personality, this was not recorded. The registered manager agreed to include this as part of the care plan”
minorPerson-centred care: “People's protected characteristics such as age, gender and religion were considered and recorded, but not all. During the inspection, the registered manager had amended their care plan assessment process”
Strengths
· People received calls at the time they wanted, on time and with the same staff member.
· Person told inspector: '[Registered manager] is very punctual and very caring and they respect my privacy.'
· Registered manager employed an external person to provide monthly supervision and audit oversight.
· Contingency plan in place with agreement from another care agency to provide cover in an emergency.
· Care plans held electronically and in the person's home, enabling timely updates.
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: 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
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people, continuous learning and improving care, working in partnershipGood