SureCare Calderdale and Kirklees received a Good rating across all five key questions on its first CQC inspection in November 2022, demonstrating safe medication management, robust risk assessment, no missed calls, and strong person-centred care. Minor concerns were noted around occasional staff phone use during care visits, some people feeling rushed, and one instance of unresolved personal care dissatisfaction, none of which constituted regulatory breaches.
Concerns (4)
minorPerson-centred care: “one person said care staff did not support them with their personal care as they would like and thought they needed more training in this area.”
minorStaff competency: “One person told us they did not think staff were always respectful and used their phones whilst they were waiting for the person to shower.”
minorPerson-centred care: “another said they felt 'A bit rushed sometimes.'”
minorCommunication with families: “One person said staff didn't listen to them. However, when we asked if they had raised this with the registered manager, they said not as they didn't want to.”
Strengths
· Robust risk assessments in place, up to date and RAG-rated, with outcomes included in the registered manager's auditing system.
· Medication records were clear and well completed; staff competency in medicines administration was regularly assessed.
· No missed calls recorded; staff arrived on time and communicated proactively about lateness.
· Safe recruitment practices with a continuous programme of recruitment.
· Thorough and flexible staff induction including shadowing, with regular supervision and spot checks.
Quality-Statement breakdown (16)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrong; Preventing and controlling infectionGood
safe: Using medicines safelyGood
safe: Staffing and recruitmentGood
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; Supporting people to live healthier lives and access healthcare servicesGood
effective: Ensuring consent to care and treatment in line with law and guidance (MCA)Good
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; respecting privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control; End of life care and supportGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Duty of candour; managers and staff understanding quality, performance, risks and regulatory requirements; continuous learningGood
well-led: Engaging and involving people, the public and staff; promoting a positive, person-centred and inclusive cultureGood