Amicable Care Ltd

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment we rated this key question requires improvement. At this assessment the rating has remained requires improvement. This meant the management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.

The service was in continued breach of legal regulation in relation to good governance.

This service scored 61 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Not all leaders understood the context in which the provider delivered care, and support. Leaders did not always have the skills, knowledge, experience and credibility to lead effectively, or they did not always do so with integrity, openness and honesty.

There was limited understanding of the regulatory environment in which the provider delivered care, and support. At the last assessment the providers governance processes did not always meet expected standards which impacted on how capably the service was led. Lessons had not always been learned.

This remained the case at this assessment. Governance processes had been developed however they were not effective in identifying the ongoing shortfalls and driving the required improvements.

Staff told us they felt well supported and listened to by the management team. People and their relatives were very happy with the care they received and said everyone was kind, caring and helpful.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider did not have clear responsibilities, roles, systems of accountability and good governance. They did not act on the best information about risk, performance and outcomes.

The provider’s governance system had not been established and operated effectively to assess, monitor and improve the quality of the service.

A range of monthly audits were completed, including care plans, medicines, and training. They had not identified the ongoing shortfalls found in relation to the lack of detail and risk management strategies in care records, the concerns relating to medicines records, and the gaps in staff training.

A service improvement plan was in place which included training, risk assessments and care plan and medicine audits but it was not robust enough to drive the necessary improvements.

Many of these concerns had been identified during the last assessment following which the provider had submitted an action plan. Whilst some improvements had been made there was a lack of progress in relation to care planning, risk management and medicines records.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider did not always focus on continuous learning, innovation and improvement across the organisation and local system.

Following the last assessment, the provider submitted an action plan detailing improvements that would be made, including in relation to care plans and audits. At this assessment some improvements had been made however shortfalls in relation to care records remained. Further sustained learning and improvement was needed to show how the service was ensuring compliance with regulation.

The registered manager and provider were open to our feedback and told us improvements would be made.