We carried out a review of the data available to us about Rightcare NW Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Rightcare NW Ltd, you can give feedback on this service.
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.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
People’s experience of using this service and what we found
Right Support: People received support in accordance with assessed needs. Staff had a good understanding of how to promotes people’s independence and respect their privacy. People and relatives felt there was a caring person-centred culture throughout the service. Assessments of people’s needs were carried out; however, some care plans required further detail. This had been identified by a new manager recruited by the provider as an action before our inspection. We have made a recommendation the provider improves the level of detail found in some people’s care plans.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Care: People and their relatives felt care was provided safely, staff had a good understanding of how and who to raise safeguarding concerns with. People received care in accordance with their care plans and risk assessments. Staff had a good understanding infection control practice and the provider maintained a high stock level of personal protective equipment (PPE). Staff had been recruited safely and received training; however, some staff felt more face to face training would be beneficial to their development. People’s medicines were managed safely, and the provider had robust systems in place to keep daily oversight. We have made a recommendation the provider implements body maps into their electronic recording system as they develop new medicine systems.
Right Culture: The new manager had implemented supervisions with all staff within the first few weeks of taking up their position. Staff reported feeling confident in the new management structure and praised the support they’d received during this initial period. The provider had robust systems in place to monitor daily practice and record keeping. Built into the providers electronic recording system (ERS) was an auditing tool which enabled the management team to audit tasks associated with people’s care. The provider welcomed and utilised external auditing as part of their oversight and quality assurance including local authority medication audits. However, the provider did not have an overarching service audit they completed internally. When we discussed this with the provider and manager, they advised they had been working with a quality compliance company and an internal audit was being developed to add to the daily and external auditing being carried out. We have made a recommendation this is implemented in a timely manner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service, at the previous premises, was good, published on 12 June 2021
At our last inspection we recommended the provider reviewed travel time for care staff and reviewed their auditing systems. At this inspection we found auditing systems had improved but required further development and staff reported no concerns in relation to travel time.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.