Anytime Care 2020 was rated Good overall at its first inspection, with Safe rated Requires Improvement due to late calls, short visits, double-booked workers and historic recruitment gaps. The new manager had clear action plans, and effective, caring, responsive and well-led domains were all rated Good.
Concerns (4)
moderate
Missed or late visits
: “We reviewed call data and found concerns with the timeliness of visits, short duration of calls and workers being booked to work in two places simultaneously.”
moderateStaffing levels: “People and relatives had mixed views about staff turning up on time. One person said, "The only issue I have is the time. I would like them to call earlier."”
minorOther: “In some historic instances of staff recruitment, the provider had not always captured people's entire employment history, capturing only the last three to five years of their history.”
minorRecord keeping: “the provider did not always maintain the signed copy at the office, rather leaving them in people's home.”
Strengths
· Medicines were managed safely with regular audits and competency spot checks
· Effective safeguarding systems with trained staff and recurrent team meeting topics
· Risks to people were assessed and monitored with personalised risk management plans
· Strong infection prevention and control measures with ample PPE and training
· Staff received inductions, regular training and supervision
Quality-Statement breakdown (23)
safe: Staffing levelsNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Managing Medicines SafelyNot rated
safe: Assessing risk, safety monitoring and managementNot 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 ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationships to avoid social isolationNot 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: Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Continuous learning and improving care; Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated