Right at Home South Liverpool received a Good rating across all five key questions in its first CQC inspection, evidencing safe, person-centred care with strong staff relationships, effective multi-agency working, and robust governance. Minor recommendations were made regarding PRN medication guidance, repositioning records, and oral health care planning.
Concerns (3)
minor
Medication management
: “When people were prescribed medicines 'when required' (PRN) there were no plans in place to guide staff on when and how to administer the medicine.”
minorRecord keeping: “one person's repositioning records were not always sufficiently detailed. The registered manager took steps to address this immediately.”
minorCare planning: “Where people were supported with oral health care, their oral health support needs were not always clearly identified in their care plans.”
Strengths
· People felt safe and staff demonstrated strong knowledge of safeguarding procedures and risk management.
· Consistent staffing with regular carers enabled strong relationships and person-centred support.
· Healthcare professionals praised the service's communication, joint working, and discharge planning.
· Staff received robust induction, Care Certificate training, supervisions and appraisals.
· Effective quality assurance systems with regular audits, spot checks and incident learning.
Quality-Statement breakdown (23)
safe: Using medicines safelyGood
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
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: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
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: End of life care and supportGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
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 staff; Working in partnership with othersGood
well-led: Continuous learning and improving careGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: How the provider understands and acts on the duty of candourGood