Wright Care 2021 Ltd achieved an overall Good rating on its first CQC inspection, with people and relatives consistently praising the kindness, reliability and skill of staff across all five key questions. The Well-Led domain was rated Requires Improvement due to an underdeveloped quality audit schedule, undated policies, and limited supernumerary management time, though the registered manager took immediate corrective action during the inspection.
Concerns (6)
moderateCare planning: “Some people's care records did not set out enough information for staff about how to mitigate risks where people had distressed behaviour.”
moderateRecord keeping: “In a small number of cases, not all checks had been recorded to demonstrate staff were suitable to work with vulnerable people.”
moderateGovernance: “There was no 'schedule of audits' to identify or address the issues we found with the quality of some records.”
minorMedication management: “The provider could not demonstrate a full system of medicine audits at the time of the inspection.”
minorGovernance: “The provider's policies and procedures setting out how the service would be managed were not dated so it would be difficult to know if these were current.”
minorSupervision / appraisal: “At the time of the inspection, formal supervision records were not available to view as the provider had recently changed IT systems.”
Strengths
· People felt safe and reported staff were kind, caring and consistently on time for visits.
· Staff had essential training including safeguarding, infection control, autism and learning disability awareness.
· Provider promoted continuity of care with small local staff teams familiar with individual needs and preferences.
· People were fully involved in care planning and said communication with the registered manager was excellent.
· Positive, open and inclusive culture praised by people, relatives and staff alike.
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: 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 empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; duty of candourGood