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Guild Healthcare Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 March 2021

About the service

Guild Healthcare is a domiciliary care agency that, at the time of the inspection, was supporting 58 people living in their own homes within the local community. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

The service had policies and procedures in place in relation to medicines administration and management and these had mostly been effective. However, we did find some concerns with processes including the need to update people’s current medicines within their care plans and better auditing for one person’s medicines administration record (MAR) charts. The service’s quality monitoring audit had failed to identify these.

Following several medicines incidents, the service had taken appropriate action although further measures could have been put in place to further safeguard. We had confirmation shortly after our inspection site visit that these had been taken. We also promptly received a service improvement plan that demonstrated what action they would be taking in response to our findings. This provided us with assurances.

Overall, we found people had received their medicines as prescribed and that staff had good knowledge of medicines administration and management. Staff had been robustly inducted, trained and supported in this aspect of their role and the provider regularly assured themselves, through competency assessments, that staff had the appropriate skills to administer medicines. One staff member told us, "I was amazed at the amount of training I received.”

The people who used the service, their relatives and staff all spoke positively about the service, medicines management and the responsiveness and communication of the management team. One person who used the service said of the staff, “I am not sure on the (medicines) training staff do but they seem so knowledgeable and kind; they are amazing at their job.” Whilst a relative told us, “I have seen the supervisors look through the medicines to make sure they are okay. I have not had any issues with staff and feel they are all good at their job.”

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (report published on 01 May 2019).

Why we inspected

We undertook this targeted inspection to check on a specific concern we had about medicines management. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

We have found evidence that the provider needs to make some improvements. Please see the Safe and Well-led sections of this full report.

Following our inspection site visit and the feedback given on our findings, the service took prompt action to rectify the concerns identified which provided us with assurances. A service improvement plan was also promptly and voluntarily submitted that provided further assurances of how those actions were to be embedded into practice.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 13 March 2021

Inspected not rated.

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Effective

Requires improvement

Updated 13 March 2021

Inspected not rated.

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Caring

Good

Updated 13 March 2021

Responsive

Requires improvement

Updated 13 March 2021

Well-led

Requires improvement

Updated 13 March 2021

Inspected not rated.

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.