Your Quality Care Services Limited (Avon Park) achieved a Good rating across all five key questions on its first CQC inspection, with people and relatives consistently praising kind, knowledgeable staff and a family-oriented culture. Minor administrative gaps in care plan version control, recruitment checks and MCA documentation were identified but promptly addressed during the inspection.
Concerns (3)
minor
Record keeping
: “multiple versions were sometimes left in care plans which could lead to confusion. The management rectified this during the inspection.”
minorGovernance: “there were occasions checks with previous employers were not in line with the provider's policies and current guidance.”
minorConsent / capacity: “it was not always confirmed the original paperwork had been witnessed. Paperwork had recently been updated to provide better prompts in relation to this.”
Strengths
· People were supported by kind, caring and knowledgeable staff who were consistently praised by people and relatives.
· Medicines were managed safely with staff trained by a qualified nurse and competency regularly checked.
· Care plans were personalised, detailed and regularly reviewed to reflect people's changing needs.
· Strong management links with health and social care professionals supported effective, timely care.
· An open, inclusive and family-oriented culture was embedded throughout the service.
Quality-Statement breakdown (23)
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: 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: Engaging and involving people using the service, the public and staffGood