Beckland Care Limited, a small domiciliary care agency in Reading, achieved an overall Good rating on its first inspection, with strong person-centred care, medicines management and multi-agency working noted throughout. The Well-Led domain was rated Requires Improvement due to incomplete incident investigations and undocumented lessons learned, though the registered manager took prompt corrective action during the inspection.
Concerns (4)
moderate
Incident learning
: “incidents were not always fully investigated, lessons learned were not always documented and themes and trends were not identified.”
moderateGovernance: “During the inspection we found one incident had not been reported to CQC, however, once this was raised with the registered manager, she immediately rectified it.”
minorRecord keeping: “The training matrix used by the service at the time of the inspection was not up to date and did not reflect the current training needs of staff.”
minorStaff training: “staff had not received mandatory Oliver McGowan training for people with learning disabilities and autism. When this was raised with the registered manager, she took immediate action.”
Strengths
· Registered manager carried out weekly audits of medicine administration records, promptly identifying any errors or missed medicines.
· Care plans, risk assessments and positive behavioural support plans were comprehensive, person-centred and regularly reviewed.
· Staff were familiar to people, knew them well, and consistently used positive and respectful language.
· Service worked collaboratively with local authority and health and social care professionals, with positive feedback from professionals.
· People were supported to maintain independence, access activities and avoid social isolation.
Quality-Statement breakdown (23)
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongGood
safe: Assessing risk, safety monitoring and managementGood
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: Supporting people to live healthier lives, access healthcare services and support; Staff working with other agenciesGood
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
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
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 staffGood
well-led: Continuous learning and improving careGood