The Care Workshop Limited received an overall Good rating across all five key questions at its first inspection, with 17 people receiving personal care in their own homes. The main area for improvement was the management of 'as and when' medicines, where care plans lacked sufficient guidance for staff, though no harm occurred and the provider took immediate remedial action.
Concerns (4)
moderate
Medication management
: “care plans did not always detail when people needed 'as and when' medicine such as pain relief.”
moderateMedication management: “Where people had regularly used an 'as and when' medicine, this was not always escalated by staff as outlined by the prescriber.”
moderateGovernance: “these had not always been completed in full and had failed to recognise the issues identified regarding 'as and when' medicines.”
minorEnd-of-life care: “Staff had not always received specific training in relation to end of life care...People's preferences for the last stages of their life had not been discussed or documented.”
Strengths
· Staff were kind, caring and person-centred; people and relatives consistently praised the quality of care received.
· Sufficient staffing levels ensured punctual, unhurried care visits, with local authority praise for punctuality.
· Robust safeguarding systems in place with staff able to demonstrate how and when to raise concerns.
· Detailed, personalised care plans developed with people and their relatives, made accessible in people's homes.
· Strong leadership with registered manager and deputy completing shifts to lead by example and support staff.
Quality-Statement breakdown (21)
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Learning lessons when things go wrongGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
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
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: Meeting people's communication needsGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood