Compkey Healthcare Ltd

Staff had received training in various subjects relating to people's needs but their competency to ensure they understood this training had not always been adequately assessed. The provider had recognised the need to strengthen their assessments of staff competency and had already implemented some changes. However, further improvement was required to ensure staff understood all of the training they had received and therefore, we have made a recommendation in relation to staff training and supervision.

People received care that met their needs and preferences. They were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. However, some staff needed to improve their knowledge in relation to the Mental Capacity Act 2005. This was required to reduce the risk of people not receiving care in their best interests when they were unable to consent to it.

Risks to people's safety had been assessed and staff knew how to support people to reduce these risks. However, people's records required more information to ensure staff had all the guidance they required to meet people's specific risks. The provider agreed to immediately implement this. Systems were in place to protect people from the risk of abuse and there were enough staff to cover people's care visits in line with their needs and preferences. Staff took precautions to reduce the risk of the spread of infection. Lessons had been learnt when things had gone wrong to improve the quality of care people received.

People received enough to eat and drink in line with their needs and were supported with their healthcare needs if required. The service worked well with other professionals to ensure people received effective care.

Staff were kind, caring and compassionate. They respected people's privacy and treated them with dignity. People's independence was encouraged, and an open culture had been developed within the service, where they could freely express their views when they wished to without fear.

Complaints and concerns were welcomed by the provider as an opportunity to learn. These were fully investigated, and people were involved in this process. People's end of life wishes had been captured where

they had wished to give this information, and staff worked with other professionals to ensure people's wishes at this time were respected.

The provider had made improvements to their governance processes. The care provided to people was closely monitored and incidents or errors quickly identified and rectified. These revised governance processes need to be embedded within the service to ensure they remain effective. The provider demonstrated an appetite to continually improve the quality of care people received and was accepting of our findings of areas for improvement.