Competent Healthcare Ltd

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• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

During this assessment we looked at 1 quality statement in the key question of caring. The overall rating for this key question combines scoring from quality statements we looked at during this assessment and quality statements scores in line with findings from our last inspection, where the service was rated good. Staff had a good knowledge of people’s needs, abilities and preferences. People told us they were happy with the care they received and had developed good working relationships with staff. However, people told us they were not always involved in developing and reviewing their care plans. Care plans did not always reflect the care they received or the level of support they required in specific areas. Some care plans lacked details about people’s background, preferred routines and how they should be supported to maintain their independence.

This service scored 70 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Kindness, compassion and dignity during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Treating people as individuals during this assessment. The score for this quality statement is based on the previous rating for Caring.

People told us they were happy with the care they received and had developed good working relationships with staff. Comments included, “They [staff] are always so happy and so kind and always ask me if they can do anything else for me.” However, there was mixed feedback from people about how the provider involved them in developing and reviewing their care plans. 4 people told us they had a care plan in place, which they had been involved in developing. Comments included,” We have two Care Plans. One is an everyday care plan and if I`m poorly I have a different one.” However, 4 people told us they were not aware whether they had a care plan and had not been involved in developing or reviewing their care. Comments included, “I don’t know if I have a care plan. I don’t know what they [staff] are supposed to do."

The registered manager told us they visited people to review their care when issues were raised. However, the outcome of these visits were not recorded, and it was not clear how these visits helped to shape and amend people’s care. Staff had a good understanding of people’s needs and were able to tell us how they provided personalised care and promoted people’s independence in carrying out everyday tasks.

People’s care plans lacked personalised details around individual’s preferences, routines, life histories and backgrounds. Some care plans contained contradictory information about the support people required around key tasks. For example, mobility, eating and drinking, levels of independence around personal care. This made it difficult for staff to appropriately provide a suitable level of support. There was limited evidence about how people were consulted about their care. For example, when they wanted their care calls and involvement in reviewing their care. There was no system in place to ensure care plans were periodically reviewed or amended when people’s needs changed.

We did not look at Responding to people’s immediate needs during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Workforce wellbeing and enablement during this assessment. The score for this quality statement is based on the previous rating for Caring.