Excel24/7 Healthcare Ltd received an overall Good rating across all five key questions at its first inspection, with strong person-centred care, safe medicines management and positive feedback from people and relatives. Minor gaps in risk assessments for specific health conditions and incident recording were identified and rectified during the inspection.
Concerns (3)
moderate
Care planning
: “risk assessments were not always in place for specific health conditions. This meant staff may not know what to do should a person's condition deteriorate.”
moderateIncident learning: “Accidents and incidents were not always recorded, and we found one person had a serious injury and no accident form had been completed.”
minorGovernance: “we found one incident that should have been reported which had been overlooked. This was rectified during the inspection process.”
Strengths
· All required pre-employment checks including DBS completed; robust induction programme in place.
· Medicines well managed with regular competency checks and medicine audits.
· No missed visits recorded; visits described as on time and not rushed.
· Staff trained in safeguarding with clear knowledge of reporting procedures.
· Person-centred care records detailed people's preferences, communication needs and wishes.
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: 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
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: How the provider understands and acts on the duty of candour; Continuous learning and improving careGood
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 staff; Working in partnership with othersGood