Golden World Care Service

What inspectors found

From the Care Quality Commission's assessment published 11 December 2024 (assessment visit 3 September 2024). Quoted under the Open Government Licence.

1. Safe

   GGood Good

   Based on the findings of this assessment we found the service had improved and addressed all the outstanding breaches we identified at their last inspection. This meant people were now kept safe and protected from avoidable harm. We have therefore changed the providers rating for this key question from requires improvement to good.

   This was because the provider had followed the action plan they had developed after their last inspection and improved how they now protected people from abuse, assessed and managed risk, prevented and controlled infection, trained staff and managed medicines.

   In addition, people continued to receive continuity of care from a dedicated group of competent, well-supported staff who were familiar with their individual care needs, wishes and daily routines.

2. Effective

   GGood Good

   Based on the findings of this assessment we have rated this key question good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this. This was because people's personal care needs were assessed before they received a home care service from this provider which staff used to develop peoples personalised care plans. Staff worked together to deliver and meet people’s needs and wishes in line with legislation and current evidence-based good practice and standards. People were supported to stay healthy and well. 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 care and support people received was routinely monitored to continuously improve it.

3. Responsive

   GGood Good

   Based on the findings of this assessment we found the service had improved and addressed all the outstanding breaches we identified at their last inspection. We have therefore changed the providers rating for this key question from requires improvement to good.

   This was because at this assessment we found the provider had followed the action plan we required them to send us after their last inspection and had improved peoples care and risk management plans to make them person-centred.

   In addition, staff continued to effectively communicate and share information with people in a way they could easily understand, treat people fairly and help them understand their equality and human rights.

4. Well-led

   GGood Good

   Based on the findings of this assessment we found the service had improved and partially addressed the outstanding warning notice we issued at their last inspection in relation to how they operated their governance systems. This was because we found the provider had made improvements and met most of the outstanding breaches of regulation we identified at their last inspection.

   However, further improvements were still required because we found that although the providers governance systems were being better managed, it had still failed to pick up a number of new issues we identified at this inspection in relation to the way some records were not being appropriately maintained or made immediately available on request. This represented a continued breach of regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, but not the warning notice.

   You can find more details of our concerns in the evidence category findings below.

   People were complimentary about the way the service was managed, and how approachable the office-based managers and all the senior and care staff were. The provider promoted an open and inclusive culture which sought the views of people receiving a service, their relatives, and staff working for them. The provider worked in close partnership with external health and social care professionals and agencies to plan and deliver people's packages of care and support.