The Diamond Care Partnership Ltd received an overall rating of Requires Improvement following a focused February 2021 inspection, with Well-led deteriorating to Inadequate due to a continued fourth breach of Regulation 17 and near-total collapse of governance, auditing, and care plan review processes. Breaches of Regulation 12 and 17 resulted in a warning notice and an imposed registration condition respectively.
Concerns (7)
criticalInfection control: “one member of staff acknowledged they did not wear a face mask in some personal care calls”
criticalGovernance: “fifth consecutive inspection that The Diamond Care Partnership Ltd has failed to reach an inspection rating of good; fourth occasion when a breach of Regulation 17 has been found”
critical
Care planning
: “care plans were not regularly reviewed and updated to ensure they reflected people's current needs...risk assessment had last been updated on 27 November 2018”
criticalRecord keeping: “recorded client reviews had not been completed since 2019...robust process to review and update all care plans, risk assessments, audits, reviews and spot checks had not been completed for approximately 12 months”
criticalStaff training: “Staff had not received specific training on COVID-19, including the effective donning and doffing of PPE, to ensure people were protected from the risk of infection.”
moderateMedication management: “no medication audits had been completed for approximately 12 months...one person received PRN pain relief gel and there was no record of how to apply this”
moderateIncident learning: “There were no records of any accidents or Incidents.”
Strengths
· Staff had good knowledge of safeguarding and how to recognise and respond to concerns
· People and relatives said staff were caring and praised the service provided
· Staff and people confirmed sufficient staffing levels; staff arrived on time and often stayed beyond agreed call times
· Registered manager maintained informal communication with families during the pandemic and was responsive to staff concerns
· Healthcare professional feedback was positive regarding communication and partnership working
Quality-Statement breakdown (7)
safe: Assessing risk, safety monitoring and management; Infection control; Using medicines safelyRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentRequires improvement
safe: Learning lessons when things go wrongRequires improvement
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving careInadequate
well-led: Engaging and involving people, the public and staff; Promoting a positive cultureRequires improvement
well-led: Duty of candour; Working in partnership with othersGood