Human Support Group Limited – Stoke on Trent improved from Requires Improvement to Good across all three inspected key questions (Safe, Effective, Well-Led), having remediated prior breaches of Regulations 12 and 17. Minor medicine recording gaps were identified but a new electronic system was already commissioned to address them.
Concerns (1)
minorMedication management: “staff recorded they offered 'as required' medicines but they did not sign their initials to confirm this. When transdermal patches were administered, staff did not always record the location of the patch”
Strengths
· People felt safe with a regular group of care staff who got to know them well, with no missed calls reported
· Improvements made since previous inspection; no longer in breach of Regulation 12 (Safe Care and Treatment) or Regulation 17 (Good Governance)
· Staff understood MCA responsibilities and applied best interests decision-making appropriately
· Thorough induction process including shadowing, training and competency checks before staff provided care
· New management structure and governance system introduced, with regular branch audits and improvement plans
Quality-Statement breakdown (15)
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
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
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
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: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood