Wright Care at Home is rated Outstanding overall, with exceptional performance in responsive and well-led domains driven by highly innovative, person-centred care, a voluntary social inclusion programme, and distinctive leadership fostering continuous improvement. Safe, effective, and caring domains are all rated Good with no regulatory breaches or failure themes identified.
Strengths
· Exceptionally person-centred care with one-page profiles, compatibility assessments, and social inclusion assessments tailored to individual needs and preferences.
· Innovative voluntary service provided free of charge by staff to combat loneliness and support social reintegration in the community.
· Robust governance framework with Care Ambassadors, electronic monitoring, monthly medication audits, and proactive quality assurance processes.
· Outstanding communication support including large-print materials, Dictaphone consent recording, and voice-activated technology for people with sensory impairments.
· Strong staff development culture including Train the Trainer programmes, funded Level 3/4/5 qualifications, and induction with mandatory shadowing and reverse shadowing.
Quality-Statement breakdown (24)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesOutstanding
responsive: Meeting people's communication needsOutstanding
responsive: Supporting people to develop and maintain relationships to avoid social isolationOutstanding
responsive: Improving care quality in response to complaints or concernsOutstanding
responsive: End of life care and supportOutstanding
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringOutstanding
well-led: How the provider understands and acts on the duty of candourOutstanding
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsOutstanding
well-led: Engaging and involving people using the service, the public and staffOutstanding
well-led: Continuous learning and improving careOutstanding
well-led: Working in partnership with othersOutstanding
Wright Care at Home achieved an overall Good rating at its July 2017 inspection, with an Outstanding rating for well-led reflecting exceptional leadership, governance and a culture of continuous improvement. The sole minor finding was the absence of risk assessments for two people with specific health needs such as oxygen use, which the registered manager committed to review.
Concerns (1)
minorCare planning: “we saw in two files where people had specific health needs such as the use of oxygen risk assessments were not in place”
Strengths
· Staffing levels managed to ensure adequate time per visit; no missed or late calls reported by people using the service
· Strong, values-led registered manager known personally to all service users and providing visible leadership
· Comprehensive staff training programme including specialist topics (Parkinson's, diabetes, end of life) and active encouragement of further qualifications
· Monthly supervision with direct observation of care practice for all staff
· Provider went above and beyond contracted care, organising social events, community outings and voluntary carer support at no cost