Signa Care Group improved from Requires Improvement to Good across all inspected key questions (Safe, Effective, Caring, Well-Led), having successfully addressed previous regulatory breaches in governance (Regulation 17) and fit and proper persons employed (Regulation 19). Relatives were positive about the quality and consistency of care, and the registered manager demonstrated effective oversight through strengthened recruitment checks, regular audits and an open leadership culture.
Strengths
· Relatives spoke positively about staff being caring, friendly and consistent, with no missed or late calls reported.
· Safe recruitment processes were strengthened following previous breaches, including thorough right-to-work monitoring.
· Medicines were safely administered by trained staff with regular audits identifying and addressing any errors.
· Staff received regular training, supervisions, spot checks and annual appraisals, supporting competence and development.
· Effective quality assurance including monthly audits overseen by the registered manager, driving continuous improvement.
Quality-Statement breakdown (17)
safe: Staffing and recruitmentGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier livesGood
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
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving careGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staff; Working in partnership with othersGood