Grays Fair Court, an extra care and reablement service, was rated Good across all five key questions at its first inspection under the new provider. Inspectors identified minor issues around CQC notifications, medicines documentation, unrestricted windows and PPE use, all of which the management team responded to promptly.
Concerns (5)
moderate
Governance
: “We identified some examples of notifiable incidents that should have been referred to CQC, but had not been”
moderateRecord keeping: “We identified environmental risks in relation to unrestricted windows, increasing the risk of people falling from a height, with no individualised risk assessments in place.”
minorMedication management: “We identified some aspects of medicines management that would benefit from changes to documentation, to ensure greater levels of monitoring and oversight.”
minorInfection control: “this relaxation in practice was observed to result in one staff member walking onto the reablement unit not wearing a mask... staff to not always be wearing their masks correctly.”
minorOther: “We found some of the fire safety equipment checks were not being completed at the time intervals the documents stated.”
Strengths
· Consistently positive feedback on staff skills, quality of care and responsiveness to people's needs
· Active recruitment programme reducing reliance on agency staff and ensuring consistency
· Person-centred reablement approach with collaborative goal setting that maintained independence
· Staff accessed regular supervision, appraisals and observed competency checks
· Open-door management culture with 24/7 management support and duty of candour clearly understood