Prayngel Healthcare remained Good overall, with well-led improving from Requires improvement to Good following enhanced quality assurance and staff oversight. Minor issues with recruitment record-keeping and medicines record signing were addressed promptly during the inspection.
Concerns (4)
moderateGovernance
: “Prior to our inspection concerns had been raised about the monitoring of quality at the service.”
moderateIncident learning: “following a serious incident the registered manager ensured staff were retrained and their competencies checked prior to them recommencing work.”
minorRecord keeping: “Staff recruitment files did not always contain complete information about staff's full employment history.”
minorMedication management: “We saw where staff had not signed people's medicines records following supporting them with their medicines, timely action had been taken by to address this.”
Strengths
· People felt safe and were supported by trained staff who knew them well
· People received their medicines as prescribed
· Regular staff team attended at the right times for the right amount of time
· Staff wore correct PPE and followed infection control guidelines
· Caring staff respected dignity and promoted independence
Quality-Statement breakdown (22)
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongNot rated
safe: Using medicines safelyNot 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: Staff working with other agencies to provide consistent, effective, timely careNot 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 requirementsNot rated
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 candourNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated