Helping Hands Aintree received an overall Good rating across all five key questions at its first inspection in May 2023, demonstrating safe, person-centred care for 19 people with strong staff support, robust medicines management and active involvement of people in their care plans. One recommendation was made regarding auditing processes, as existing governance systems failed to identify changing nutritional and moving and handling risks for one person.
Concerns (2)
moderateGovernance: “the current systems did not pick up on changes to the risk relating to a person's nutritional and moving and handling needs.”
minorIncident learning: “we identified an example when one person's risk assessment had not been reviewed when they had experienced a fall.”
Strengths
· Person-centred culture with staff highly motivated to deliver consistently good outcomes for people.
· Medicines safely managed with staff competency assessed twice a year.
· Robust initial assessments capturing personal likes, dislikes, preferences and physical care needs.
· Consistent, small staff team with effective out-of-hours on-call and contingency arrangements.
· People and relatives actively involved in care planning; care plans fluid and person-owned.
Quality-Statement breakdown (19)
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
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the law; Supporting people to eat and drink enoughGood
effective: Staff working with other agencies; Supporting people to live healthier lives and access healthcare servicesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
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
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: Meeting people's communication needsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving careGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empowering; Working in partnership with othersGood
well-led: Duty of candour; Engaging and involving people using the service, the public and staffGood