Anneally Care Services LTD was rated Requires Improvement overall at its first inspection in January 2023, with four of five key questions rated Good but Well-led requiring improvement due to a breach of Regulation 17 (Good Governance). Quality assurance processes failed to identify gaps in care planning, medication risk assessments, and staff competency verification for training completed with previous employers.
Concerns (5)
critical
Governance
: “Formal audits of care plans and care logs were not documented to demonstrate what was reviewed as part of the audit alongside the outcome of the audit.”
moderateCare planning: “One person was living with diabetes and Parkinson's. Their care plan lacked information on what support from staff was required to help the individual manage these health conditions.”
moderateMedication management: “Medicines audits also failed to identify that medicine risk assessments were not always in place and that best practice guidance (NICE) around medicine management was not always being followed.”
moderateStaff competency: “Where staff had completed training under their old employers, the provider had not established a formal system on assessing staff's competency and understanding of the training.”
minorRecord keeping: “The provider had not obtained copies to confirm that relatives had such authority [Lasting Power of Attorney for Health and Welfare].”
Strengths
· People received care from consistent staff members who knew and understood their care needs well.
· Staff understood their responsibilities for safeguarding adults and practiced safe infection control.
· People's medicines were managed safely with staff competency assessments completed.
· Care plans included personalised information on people's preferences, life history and what was important to them.
· Staff treated people with dignity and respect, promoting independence and supporting diverse needs.
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: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
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: How the provider understands and acts on the Duty of CandourGood
well-led: Continuous learning and improving care; working in partnership with othersGood