All About U Care Services Ltd improved from Requires Improvement to Good overall, with safe care delivery for its single service user underpinned by consistent staffing, effective medicines management, and strong person-centred practice. However, the Well-Led domain remains Requires Improvement due to the absence of a registered manager since June 2021 and gaps in the provider's governance knowledge and training infrastructure.
Concerns (4)
criticalGovernance: “There had not been a registered manager since June 2021. Although the registered provider had now started the application process, this delay reflected a lack of understanding of the legal requirement.”
moderateLeadership: “The registered provider did not have significant experience of providing care and there were gaps in their knowledge regarding their regulatory responsibilities.”
minorCare planning: “Care planning and risk assessments had been tailored around the person receiving care. Although it lacked detail, written guidance to staff was personalised and practical.”
minorStaff training: “Quality checks and training programmes remained limited to the needs of the person being supported.”
Strengths
· Medicines were administered safely with new effective systems and personalised care plans in place.
· Consistent, knowledgeable staff team who knew the person well and provided safe, person-centred care.
· Effective communication and open partnership working with the person, their relative, and external professionals.
· Adequate staffing levels with well-managed rotas and robust recruitment processes including DBS checks.
· Staff supported the person to minimise infection risk using PPE effectively.
Quality-Statement breakdown (8)
safe: Using medicines safelyGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Preventing and controlling infectionGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving careRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people, working in partnership with others, duty of candourGood