Alchita Care Limited of Bradford

The service provided safe care and treatment for people. People and their relatives felt safe using the service. There were relevant training and processes in place to manage safeguarding concerns. However, these were not always effectively implemented to manage risk. The service has told us how they will improve on management of safeguarding concerns. People’s environments were fully assessed to manage risk and there was appropriate use of Personal Protective Equipment (PPE) to manage infection, prevention and control (IPC). Medicines were robustly managed within the service. The service was no longer in breach of regulation of safe care and treatment.

People told us they felt the care they received was effective. There were robust systems in place to assess people’s needs and care based on best available legislation and evidence. Staff worked well with other services to ensure a collaborative approach to care, and to promote people to live healthier lives. The service could have supported people better to access community services. The service has advised us how they will improve in this area. There were robust systems in place to ensure oversight of the service which supported the monitoring and improvement of outcomes for people. For example, quality audits implemented by leaders of the service including spot checks. However, reviews and follow up actions were not always fully recorded. The service has advised us how they will make improvements regarding this. The service demonstrated a good understanding around consent to care and treatment, embedding the use of the Mental Capacity Act 2005 (MCA 2005) into practice. The service was no longer in breach of regulation in relation to consent to care and treatment.

The service demonstrated a caring and compassionate culture. People using the service told us staff displayed kindness and dignity in their roles. People were supported to build independence in aspects if their care. The service had systems in place to ensure people’s immediate needs were responded to. Staff within the service told us they felt well supported by leaders.

Care planning documentation was person centred, and provided specific information relating to people’s needs, likes and preferences. The service worked well with local services to ensure a collaborative approach to care. For example, working closely with health and local authority colleagues. People were provided with information in a format, which was accessible to them, for example, an easy read welcome pack. Staff and people using the service were given opportunity to share feedback. People and staff surveys were regularly completed in the service. Those who may be at increased risk of inequality under The Equality Act 2010, (EA, 2010), were supported to access care which provided them with equal opportunities and outcomes. There were relevant training and processes in place to support people to make decisions regarding important life changes, for example end of life care.

The service had robust systems and processes in place to promote good governance and leadership. Leaders completed regular quality audits to drive overall improvement within the service, identifying any emerging patterns or trends which may require additional learning or training. Leaders demonstrated compassion towards people and staff in the service. People and staff felt able to speak up to leaders in the service and felt confident concerns would be addressed swiftly and appropriately. There was a diverse workforce in place. The service was no longer in breach of regulation relating to good governance.