Radis Community Care (Nottingham) achieved a Good rating across all five key questions at its announced March 2015 inspection, demonstrating sustained improvements following three regulatory breaches identified in 2013 relating to missed visits, staff training, and complaints handling. No current breaches were found, and the service was praised for person-centred care, robust governance, and proactive safeguarding practice.
Strengths
· Improvements maintained from previous breaches: call times organised, travel time incorporated, staff familiar with areas
· 100% of people felt safe; robust safeguarding policies and proactive liaison with local authority
· Robust recruitment procedures and sufficient staffing levels with competency spot checks every three months
· Staff demonstrated good knowledge of Mental Capacity Act 2005 and obtained consent before providing care
· Individualised, person-centred care plans reviewed regularly; people involved in care planning decisions
Radis Community Care (Nottingham) achieved an overall Good rating across all five key questions at this March 2020 inspection, with well-led improving from Requires Improvement. Minor issues included lack of hot water at the office affecting infection control, and some staff reporting tight travel time between evening care calls.
Concerns (2)
minorInfection control: “Hot water was not available at the provider's office which was used as a work base, for meetings with staff, and for staff training sessions. The lack of hot water limited the effectiveness of hand washing.”
minorStaffing levels: “The morning and lunch runs go very smoothly, but unfortunately the night runs are so jampacked you feel that you are really rushed; and 5 minutes in between each call is not long enough.”
Strengths
· People received consistently positive care with staff described as going 'the extra mile'.
· Comprehensive, personalised care plans were regularly reviewed at least every six months.
· Safe recruitment practices with effective pre-employment checks in place.
· Medicines administered safely with periodic competency assessments and management audits.
· Mental Capacity Act principles were understood and applied correctly by staff.
Quality-Statement breakdown (22)
safe: Preventing and controlling infectionNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced diet
Radis Community Care (Nottingham) was rated Good overall following an announced inspection in August 2017, with safe, effective, caring, and responsive domains all rated Good. The only area of concern was well-led, rated Requires Improvement, primarily due to the absence of a registered manager for 20 days and inconsistent recording of day-to-day complaints.
Concerns (3)
moderateGovernance: “There was no registered manager in post at the time of our inspection. There had been no manager in place for 20 days.”
minorComplaints handling: “There had not been any complaints recorded in 2017; the care co-ordinators told us day to day concerns were dealt with on a daily basis but these had not been recorded.”
minorRecord keeping: “The provider was prompted to update their statement of purpose as it did not reflect the current service; The provider amended this immediately at the time of inspection.”
Strengths
· People felt safe with staff and risks were regularly assessed and reviewed with mitigation plans in place.
· Medicines were safely managed with MAR charts, allergy records, and staff trained in medicines administration.
· Staff received regular supervision, spot checks, and were supported to complete vocational qualifications and the Care Certificate.
· People were treated with dignity and respect; care was person-centred with preferences, cultural and religious needs recorded.
· Staff were proactive in referring people to health professionals and monitoring nutritional needs.
Quality-Statement breakdown (17)
safe: Safeguarding and protection from abuseGood
safe: Risk assessment and managementGood
safe: Staffing levels and safe recruitmentGood
safe: Medication managementGood
effective: Staff training and inductionGood
effective: Supervision and supportGood
effective: Consent and Mental Capacity Act complianceGood
effective: Nutrition and hydrationGood
Not rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated
effective: Health needs and healthcare referrals
Good
caring: Relationships and person-centred careGood
caring: Dignity and respectGood
caring: Advocacy and involvement in decisionsGood
responsive: Care planning aligned to individual preferencesGood
responsive: Complaints handling and recordingGood
well-led: Registered manager in postRequires improvement
well-led: Quality assurance and governance systemsGood
well-led: Culture, vision and person-centred leadershipGood