Routes Healthcare (North) Ltd received a Good rating across all five key questions at its first ratings inspection in January 2019, demonstrating safe, person-centred care with robust governance and a positive culture. Minor shortfalls in supervision frequency and care plan audit completion were noted but were being actively addressed by the management team.
Concerns (3)
minor
Supervision / appraisal
: “Some supervision had not been completed in line with the registered providers policy of four times a year, although the manager was catching up.”
minorRecord keeping: “We saw one person's care plan audit form had been completed in July 2018, however the action that had been identified had not been completed.”
minorGovernance: “the manager told us they aimed to audit fifty percent of daily records and MARs each month if possible, however this had not all been completed due to staff vacancies in the office.”
Strengths
· Electronic call monitoring system in place to flag missed or late visits, with evidence of appropriate action taken.
· Detailed, person-centred care plans covering communication, mobility, nutrition, emotional wellbeing and equality needs.
· Staff received training across a wide range of subjects including MCA/DoLS, safeguarding, dementia awareness and end of life care.
· Safe recruitment practices including DBS checks consistently followed.
· Monthly clinical governance meetings held to review incidents, accidents, safeguarding and complaints themes.
Quality-Statement breakdown (18)
safe: SafeguardingGood
safe: Risk assessmentsGood
safe: Staffing and missed callsGood
safe: Medicines managementGood
safe: RecruitmentGood
effective: Training and inductionGood
effective: Supervision and appraisalGood
effective: Mental Capacity Act / consentGood
effective: Working with healthcare professionalsGood