Pathways Support achieved a Good overall rating in this focused inspection of safe and well-led domains, having fully remediated all breaches identified in the 2019 inspection relating to medicines management, risk governance, statutory notifications, and quality monitoring. The service demonstrates strong person-centred values, consistent staffing, and effective partnership working, with no new concerns identified.
Strengths
· Medicines management fully remediated since 2019 breach, with audits, competency assessments, and PRN guidance in place
· Risk assessments and care plans integrated and regularly reviewed, enabling safe independence
· Consistent, warm staffing with safe recruitment procedures including DBS checks and reference verification
· Effective infection control with PPE, hand hygiene promotion, and up-to-date policies
· Robust quality monitoring systems introduced post-2019, covering medicines, care records, and infection control audits
Quality-Statement breakdown (10)
safe: Using medicines safelyGood
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: How the provider understands and acts on the duty of candourGood