Positive OT & Case Management Ltd

GoodRated 18/12/2024Home care · Leeds

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CQC Key Questions

Safe

Good

People are protected from abuse and avoidable harm.

Effective

Good

Care achieves good outcomes and quality of life.

Caring

Good

Staff treat people with compassion, dignity, respect.

Responsive

Good

Services are tailored to people's needs.

Well-led

Good

Leadership and culture support quality care.

What inspectors found

13 findings

Other

Note8 Feb 2023
Robust audit plan in place to address governance gaps identified during inspection.
Note8 Feb 2023
Provider met duty of candour requirements and demonstrated openness and honesty.
Note8 Feb 2023
Good working relationships maintained with partner agencies including physiotherapists and occupational therapists.
Note8 Feb 2023
Effective complaints process in place with a complaints log recording actions taken.
Note8 Feb 2023
Staff treated people with kindness, dignity and respect, promoting independence and privacy.
Note8 Feb 2023
People and relatives were involved in care planning and review processes.
Note8 Feb 2023
Care plans were personalised, reflecting people's likes, dislikes, preferences and protected characteristics.
Note8 Feb 2023
Medicines administered safely with trained staff and frequent competency checks; positive feedback from relatives.
Note8 Feb 2023
Staff were up to date with training including dementia and PEG training, and received regular supervision and appraisals.
Note8 Feb 2023
Recruitment managed safely with DBS checks, references, and involvement of people using the service in the recruitment process.
minorend_of_life_care8 Feb 2023
Care plans did not document end of life wishes. Following the inspection, the registered manager provided evidence their paperwork was updated to record these needs.
moderategovernance8 Feb 2023
The service improvement plan was not robust. The lack of auditing did not support an effective improvement plan.
criticalgovernance8 Feb 2023
Quality assurance checks to cover all aspect of the service were not in place. The audits that had been completed lacked clarity regarding concerns identified and failed to provide actions taken.