Paramount24 Healthcare Limited received a Good rating across all five key questions at its first CQC inspection in May 2022, with people and relatives consistently reporting kind, timely and person-centred care. A recommendation was made regarding record keeping, specifically the need to formally document decisions relating to people's care, support discussions, and management spot checks.
Concerns (4)
moderate
Record keeping
: “decisions affecting a person's care and support were not always recorded”
minorRecord keeping: “Managers completed spot checks on staff to ensure they were providing safe care, but these were not always recorded.”
minorGovernance: “A system to check care plans for quality and safety issues was not yet established.”
minorCare planning: “We fedback to the provider that discussions with people and their relatives about their care and support should be recorded.”
Strengths
· People and relatives reported consistently positive experiences; staff described as unfailingly kind and always on time
· Experienced management team with qualifications in social and probation work, directly involved in care delivery
· Thorough pre-care assessments and person-centred care plans covering needs, preferences, dietary requirements and communication needs
· Safe medicines management with detailed assessments and trained staff confirmed by people and relatives
· Safe recruitment practices with appropriate pre-employment checks in place
Quality-Statement breakdown (17)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Using medicines safelyGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the law; Supporting people to eat and drink enoughGood
effective: Staff support: induction, training, skills and experienceGood
effective: Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier livesGood
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 care; 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 preferences; End of life care and supportGood
responsive: Meeting people's communication needsGood
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 requirements; Continuous learning and improving careGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empowering; Working in partnership with others; Engaging and involving peopleGood
well-led: How the provider understands and acts on the duty of candourGood