Care Outlook (Wembley) was rated Good overall, with Requires Improvement in Effective due to incomplete Mental Capacity Act assessments and unrecorded best interest decisions. People felt safe, well-cared for and supported by trained staff under effective leadership and quality assurance arrangements.
Concerns (3)
moderate
Consent / capacity
: “mental capacity assessments had been completed in relation to people's ability to sign their care plan and for the administration of medication but not for when bed rails were used”
moderateConsent / capacity: “best interest decisions had not been recorded following a mental capacity assessment had been completed.”
moderateConsent / capacity: “the policies and systems in the service did not support this practice. We have made a recommendation about ensuring the principles of the Mental Capacity Act were followed.”
Strengths
· People felt safe and reported reliable, on-time visits from kind and caring staff
· Robust recruitment process including employment history, references, right to work and DBS checks
· Medicines administered safely with monthly MAR audits and competency checks
· Comprehensive risk assessments and condition-specific information sheets included in care plans
· Strong infection prevention and control with PPE supply, COVID-19 testing and vaccination support
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
effective: Assessing people's needs and choices; delivering care in line with standardsNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
responsive: Planning personalised care to ensure people have choice and controlNot rated
responsive: End of life care and supportNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
well-led: Continuous learning and improving careNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated