ICare (GB) Limited received a Good rating across all five key questions at its first CQC inspection in November 2019, demonstrating safe recruitment, well-trained staff, and positive outcomes for the 64 people receiving personal care. Minor recording gaps were noted around unsigned consent forms, unsigned review documents, and incomplete end-of-life care records, but no regulatory breaches were identified.
Concerns (4)
minor
Consent / capacity
: “Some consent forms we saw had not been signed by the person. We asked the registered manager to address this.”
minorRecord keeping: “Some review documents we saw were not signed by the person to evidence they had seen the content of the meeting.”
minorEnd-of-life care: “Care records we saw were still to be updated with people's end of life wishes and identify if any 'Do Not Resuscitate' (DNAR) decisions.”
minorPerson-centred care: “Where people had made comments or suggestions about their support there was no written evidence that this had been followed up.”
Strengths
· People and family members spoke positively about the service, describing staff as professional, helpful and kind.
· Staff had been recruited safely with sufficient numbers employed; agency staff were not used.
· Staff received a comprehensive induction and regular face-to-face training at an on-site facility, with records showing training was up-to-date.
· Staff received regular supervision and attended regular staff meetings.
· Electronic care planning system ensured staff had real-time, up-to-date information about people's needs.
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: 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 to maintain a balanced dietGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsGood
well-led: Continuous learning and improving careGood