Caring Crew - Peterborough Office achieved a Good rating across all five key questions at its first inspection in December 2019, demonstrating safe, person-centred care delivered by well-trained and compassionate staff. Minor shortfalls were identified in MAR completion, visit timing consistency and two unreported incidents, all of which the registered manager acted upon promptly.
Concerns (4)
moderate
Record keeping
: “Medicines' administration records (MAR) were not always completed by staff. The registered manager's audits had identified this and actions including reminding and retraining staff.”
moderateGovernance: “We found there had been two occasions where we had not been told about incidents regarding people's safety.”
minorMissed or late visits: “Several people and relatives commented that there had been variations in the timing of their care visits.”
minorCare planning: “In some of these it was not clear how to safely support people being moved in a hoist. Staff knew in detail how to do this. The registered manager told us they would update these records straight away.”
Strengths
· Staff implemented safeguarding knowledge well and were confident reporting concerns including abuse, unexplained bruising and scams.
· Robust recruitment processes including DBS checks and employment reference verification ensured only suitable staff were employed.
· Medicines were administered safely by trained and competent staff with regular competency observations and refresher training.
· Staff received comprehensive induction, regular supervision, e-learning and the Care Certificate, with care practice observed against provider standards.
· Person-centred care was consistently demonstrated, including supporting a person to travel to their home country and encouraging another to get out of bed for the first time in four months.
Quality-Statement breakdown (24)
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: Staff working with other agencies to provide consistent, effective, timely careGood
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: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Continuous learning and improving careGood