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Precious Homes Hertfordshire Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 July 2021

About the service

Precious Homes Hertfordshire is a service providing personal care to six people living with a learning disability, autism, mental health needs and sensory impairments at the time of the inspection. People have their own separate flats and shared communal areas within the main building. The service can support up to 15 people and is a large detached two storey building.

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

Staff were not using personal protective equipment (PPE) effectively and safely. The provider had access to COVID-19 testing for people using the service and staff, however not all staff were regularly testing. The provider had developed a risk assessment to mitigate these risks, however the staff were not adhering to this.

The provider and management team had not identified the infection prevention control risks to the people living at the service through the quality assurance checks. This put people at increased risk of spreading COVID-19.

Medicines were given to people when they needed them, however discrepancies in the medicine documentation were not always identified. Staff had competency assessments; however, the competency assessments were not always completed by a person skilled to assess competency.

People felt safe with the care they received, and staff were knowledgeable about when to report concerns to safeguard people. Risk assessments highlighted people's individual needs, and professionals were referred to when staff needed input for people. Where things went wrong, this was shared with staff and lessons were learnt and changes implemented.

People felt they were able to express how they wanted to be supported and staff were skilled and

knowledgeable about their role. Staff and relatives felt there had been an increase in the use of agency staff over the last year. There were enough staff to support people at the time of the inspection. The service had recently undergone a change in management, the overall feedback was positive.

The provider ensured that staff went through a recruitment process and all relevant employment checks were completed. People and relatives felt staff were kind and people were happy living at Precious Homes Hertfordshire.

The manager had systems in place to manage complaints. People and relative said they felt

listened to when they raise any concerns. The manager had implemented new ways of working which had been acknowledged by the staff team as a positive thing.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were able to have choice and control of their day to day decisions and the care plan reflected this. The management team have started to ensure that the core values and ethos of the company was shared with the staff team and embedded in the support they provided.

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

Rating at last inspection

The last rating for this service was good (published 18 September 2019).

Why we inspected

We received concerns in relation to safeguarding concerns raised. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspec

Inspection areas

Safe

Requires improvement

Updated 15 July 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 15 July 2021

Caring

Good

Updated 15 July 2021

Responsive

Good

Updated 15 July 2021

Well-led

Requires improvement

Updated 15 July 2021

The service was not always well-led.

Details are in our safe findings below.