Comfort Call Monica Court improved from Requires Improvement to Good following a focused inspection of safe and well-led, with previous breaches of regulations 12 and 17 fully remediated. The service demonstrated safe medicines management, robust governance systems, and a person-centred culture supported by strong leadership.
Strengths
· Medicines managed safely with complete MAR records and staff competency assessments; previous breach of regulation 12 remediated
· Robust recruitment checks and electronic staffing system ensuring adequate visit coverage
· Comprehensive governance and audit systems including care plans, daily communication records and staff files
· Person-centred care with people's views and choices embedded in care plans
Quality-Statement breakdown (8)
safe: Using medicines safely; Learning lessons when things go wrong
Good
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Preventing and controlling infectionGood
safe: Staffing and recruitmentGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving careGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candour; Working in partnership with othersGood