Real PCS Warwickshire received a Good rating across all five key questions at its first CQC inspection in March 2021, supporting ten people with personal care. Minor gaps in risk assessment detail and mental capacity documentation were identified but did not impact the overall rating, with leadership responding promptly to inspector feedback.
Concerns (3)
moderate
Care planning
: “one person was at risk of skin damage due to their diet and health conditions and did not have a comprehensive risk assessment in place to help prevent future skin damage.”
minorConsent / capacity: “mental capacity assessments required more detail to show how people should be consulted to make decisions where they could, and how best interests' decisions had been reached and agreed.”
minorStaff training: “Whilst staff said they had not completed moving and handling training, the director told us this was an included topic within the online training staff completed.”
Strengths
· Relatives consistently reported feeling their loved ones were safe, with patient and knowledgeable staff who knew people well.
· Consistent staff teams ensured continuity of care and strong relationships with people and their families.
· Comprehensive person-centred care plans reflecting individual routines, preferences, communication needs and life history.
· Strong partnership working with healthcare professionals including GPs, district nurses and speech and language therapists.
· Open and approachable leadership with an 'on call' system providing 24-hour management support.
Quality-Statement breakdown (24)
safe: Assessing risk, safety monitoring and managementGood
safe: Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Preventing and controlling infectionGood
safe: Using medicines safelyGood
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: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Supporting people to live healthier lives and access healthcare servicesGood
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
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships and take part in activitiesGood
responsive: End of life care and supportGood
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 requirementsGood
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 staffGood
well-led: Continuous learning and improving careGood