Choices Homecare (Bolton and Bury)

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Appropriate governance systems were not always in place to monitor the quality of service effectively. We were not provided with any evidence that audits were completed in areas which covered care plans, initial assessments, MCA assessments or staff files which were some of the areas where we identified concerns during the assessments.

This service scored 62 (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 Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

At the time of the assessment, the current registered manager was undertaking a different role at the service as Care Coordinator and we were told a new manager would be applying to register with CQC. The new provider has been in place for the last 18 months. There were little evidence of the provider’s oversight in regards to the service. However the provider told us about the systems that are in the process of being implemented to strengthen the overall oversight for example new electronic quality assurance system. The provider told us about the plans for the current care manager to become registered manager. The current registered manager is going to fulfil the role of the coordinator within the service. The provider also holds an improvement plan with Bolton local authority. Staff told us they felt there was good management and leadership at the service and felt supported in their roles.

Appropriate governance systems were not always in place to monitor the quality of service effectively. We were not provided with any evidence that audits were completed in areas which covered care plans, staff files, MCA assessments and initial assessments which were some of the areas where we identified concerns during the assessment of the service. We saw some evidence of staff supervision/appraisal and competency assessments carried out, however these were inconsistent across the staff team.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.