Revolution Home Care Ltd achieved a Good rating across all five key questions at its August 2023 inspection, demonstrating safe care delivery, effective governance and a positive person-centred culture. Notably, the well-led rating improved from Requires Improvement to Good, reflecting the registered manager's successful embedding of governance systems and continuous improvement processes.
Strengths
· People felt safe and risks were identified, assessed and managed with clear guidance for staff
· Medicines managed safely with robust checks, competency assessments and lessons learned from errors
· Staff were kind, caring and treated people with dignity, respect and promoted independence
· Personalised care plans regularly reviewed and adapted to meet changing needs and preferences
· Registered manager developed and embedded effective governance system with monthly comprehensive audits and KPIs
Revolution Home Care Limited was rated Good overall at its first CQC inspection, with safe, effective, caring and responsive services all rated Good and people consistently positive about staff conduct and care quality. Well-led was rated Requires Improvement due to quality assurance processes and record keeping — including medicines checks and complaints records — not being consistently implemented.
Concerns (4)
moderateGovernance: “Systems were in place to monitor the quality of the service provided but were not consistently implemented.”
moderateRecord keeping: “we checked records staff kept in relation to medicines, and noted there was no record of when MARs where checked.”
minorRecord keeping: “staff were not always recording when people had raised issues that were subsequently resolved.”
minorComplaints handling: “As most concerns were dealt with immediately, there were no clear records of issues raised and resolved.”
Strengths
· People felt safe and staff demonstrated clear understanding of safeguarding procedures and how to report concerns.
· Medicines were managed safely with trained staff and completed MAR charts.
· Staff received induction, Care Certificate, regular training, supervision, and team meetings.
· Person-centred care plans reflected individual preferences and were regularly reviewed with involvement of people and relatives.
· People were treated with dignity, respect and consistency, with matched staff fostering caring relationships.
Quality-Statement breakdown (15)
safe: Safeguarding and protection from abuseGood
safe: Risk assessment and managementGood
safe: Staffing levels and timeliness of careGood
safe: Recruitment and pre-employment checksGood
safe: Medication managementGood
effective: Staff training, induction and competencyGood
effective: Consent and Mental Capacity Act complianceGood
effective: Nutrition and hydration supportGood
effective: Access to healthcare servicesGood
caring: Kindness, dignity and respectGood
caring: Involvement in care decisions and independenceGood
responsive: Person-centred care planning and reviewGood
responsive: Complaints and concerns handlingGood
well-led: Quality assurance and audit systemsRequires improvement
well-led: Leadership, culture and staff supportGood