Bloomsbury Home Care - Essex improved to Good overall, with Safe rated Good after previous risk assessment and medicines concerns were addressed. Well-led remained Requires Improvement as newly introduced governance and medicines competency auditing systems were not yet embedded or fully effective.
Concerns (5)
moderateGovernance: “as these were new systems, we could not be assured these were effective in identifying areas for improvement, or that they had been fully embedded into the service.”
moderateStaff competency: “The provider had not identified issues we found on inspection with the newly implemented medicines competency assessment... The auditing process was not effective”
moderate
Staff training
: “staff completing the assessments required further training on how to properly document practice being observed.”
moderateMedication management: “Detailed information was not included by the staff completing the assessment to give context to the answers supplied.”
minorInfection control: “the risk assessments did not include any information of any additional mitigations to reduce this risk.”
Strengths
· People told us they felt safe and well cared for
· Staff were recruited safely and in line with best practice guidance
· Medicines were managed safely, and staff had received appropriate training in this area
· New Infection Prevention and Control policy implemented with clear guidance and adequate PPE
· Risk assessments now contained sufficient information on how to manage risks
Quality-Statement breakdown (10)
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringRequires improvement
well-led: How the provider understands and acts on the duty of candourRequires improvement
well-led: Working in partnership with others; Continuous learning and improving careRequires improvement