Redyfne Recruitment and Staffing Limited was rated Requires Improvement overall, with three breaches of regulation identified relating to medicines management, risk assessment and good governance. Despite caring, effective and responsive care being rated Good, a lack of audits, poor pre-assessment records and inadequate medicines oversight placed people at risk of harm.
Concerns (9)
critical
Medication management
: “Medicines were not safely monitored and managed. There was a lack of systems and processes in place to monitor and manage medicines”
criticalMedication management: “There was significant confusion around the difference between prompting and administration of medicines.”
criticalCare planning: “People's known risks were documented in their care plans. However, known risks were not always risk assessed to provide guidance to staff on how to minimise the known risk.”
criticalGovernance: “There was a lack of audits to enable the service to assess and monitor the quality of care. The registered manager confirmed no medicines audits were completed”
moderateRecord keeping: “pre-assessment documentation was poor. Documentation failed to document people's care and support needs, mobility, medicines and personal risks”
moderateStaff training: “training records which showed six out if 12 staff had not had safeguarding refresher training.”
moderateComplaints handling: “Complaints were documented. However, there was no information on any learning or how any complaints would be used to improve the quality of care.”
moderateIncident learning: “we also received feedback from the local authority that feedback to safeguarding teams was not always received in a timely manner.”
minorOther: “there were not always full employment histories and gaps in employment history had not been documented.”
Strengths
· Staff had a kind and compassionate attitude; people felt treated with respect and encouraged to be independent.
· People usually had the same care staff visiting them, providing continuity of care.
· Staff received a comprehensive induction, regular training, supervision and appraisal.
· Service worked within the principles of the MCA and documented capacity in care plans.
· Staff followed infection control guidance, used PPE appropriately and followed COVID-19 testing guidance.
Quality-Statement breakdown (20)
safe: Using medicines safelyRequires improvement
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Preventing and controlling infectionNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
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 empoweringNot rated
well-led: How the provider understands and acts on the duty of candour; Continuous learning and improving care; Working in partnership with othersNot rated