Compare Care Limited improved from Inadequate and exited Special Measures, with Safe, Effective and Caring rated Good and previous breaches of Regulations 12 and 17 resolved. However, Responsive and Well-led remained Requires Improvement as care plan personalisation and embedding of governance improvements were still ongoing.
Concerns (4)
moderate
Care planning
: “people's care plans were still in the process of being updated and amended, to ensure they accurately described people's history, their background, aspirations, goals, likes and dislikes”
moderatePerson-centred care: “records were not well personalised and did not always reflect the care that people were receiving”
moderateGovernance: “The improvements made, needed more time to be sustained, maintained and fully embedded into the culture of the service.”
moderateLeadership: “The rating for this key question has remained Requires Improvement. This meant the service management and leadership was inconsistent.”
Strengths
· Medicines managed safely with risk assessments, MARs and weekly audits
· Sufficient regular staff with no missed calls reported and electronic visit monitoring embedded
· Staff trained, supervised and competency-checked by the registered manager
· Effective infection control procedures and consistent PPE use
· Positive feedback from people and relatives about caring, dignified staff
Quality-Statement breakdown (17)
safe: Assessing risk, safety monitoring and management; Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuse; 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; working with other agencies; accessing healthcareGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality, diversity, privacy, dignity and independenceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesRequires improvement
responsive: Meeting people's communication needsRequires improvement
responsive: Improving care quality in response to complaints or concernsRequires improvement
responsive: End of life care and supportRequires improvement
well-led: Managers and staff being clear about their roles; understanding quality performance, risks and regulatory requirements; duty of candourRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringRequires improvement
well-led: Engaging and involving people using the service, the public and staff; continuous learning; partnership workingRequires improvement