Rusko Care Ltd was rated Good overall at its first inspection, with Safe rated Requires Improvement due to two unreported safeguarding incidents and incomplete risk assessment guidance. People and relatives praised the consistent staff team, person-centred care and the approachable registered manager, who took immediate corrective action during the inspection.
Concerns (3)
moderate
Safeguarding
: “the registered manager had not identified two incidents that had occurred as potential safeguarding concerns”
moderateCare planning: “some risk assessments did not include full guidance for staff on what action to take to make sure risks were kept to a minimum”
minorRecord keeping: “There was little information about the signs and symptoms staff needed to observe to make sure the tube was draining properly and to detect any signs of infection.”
Strengths
· Safe medicines management with regular audits and competency checks
· Sufficient, consistent staffing with no missed calls reported
· Person-centred care plans developed in partnership with people
· Strong staff training including diabetes, catheter care and end of life care
· Positive, approachable registered manager praised by people, relatives and staff
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: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot 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: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot 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
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to meet people's needs, preferences, interests and give them choice and controlNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Duty of candour and continuous learning and improving careNot 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