Accommodating Care (Driffield) was rated Requires Improvement overall following a focused inspection in October 2022, with Safe rated Requires Improvement and Well-led rated Inadequate, representing a deterioration in governance. Multiple regulatory breaches were identified under Regulations 12, 13, and 17, including unsafe medicines management, failure to safeguard people from abuse, and persistently ineffective quality assurance systems across four consecutive inspections.
Concerns (8)
criticalMedication management: “People continued to receive medicines against the prescriber's instructions. For example, one person was prescribed a medication to take for six months. However, staff had continued to administer this medicine after the six months.”
criticalCare planning: “Care plans did not accurately reflect instructions on how to give people medicines, meaning there was a lack of guidance for staff.”
criticalSafeguarding: “Where people expressed concerns of potential abuse, they were not responded to in line with the provider's policy.”
criticalGovernance: “This was the fourth consecutive inspection where concerns were found in relation to record keeping and oversight of quality at the service.”
moderateRecord keeping: “Records did not contain personalised information about people's needs, risks they were exposed to or their preferences about how they wished to receive their care.”
moderateIncident learning: “Systems and processes to review, investigate and monitor concerns, issues or incidents were not always completed correctly to demonstrate actions required or lessons learnt.”
moderateLeadership: “The registered manager did not always feel supported in their role. Following the inspection, the registered manager informed us they were leaving the service.”
moderateStaff competency: “Recruitment files were incomplete, which meant the provider could not demonstrate a robust and thorough recruitment process had been followed.”
Strengths
· People felt safe and spoke positively about staff kindness and compassion.
· Staff received safeguarding training and knew how to recognise potential abuse.
· Staff completed medication training with competency assessed through supervisions and spot checks.
· People confirmed staff wore PPE when delivering personal care.
· People told us staff were reliable and always arrived on time.
Quality-Statement breakdown (8)
safe: Using medicines safelyRequires improvement
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseRequires improvement
safe: Staffing and recruitmentRequires improvement
safe: Preventing and controlling infectionNot rated
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving careInadequate
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Working in partnership with othersNot rated