Care Needs Limited Stockport

On this page

• 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

There were systems and processes in place for oversight of areas of improvement. However, learning and actions taken as a result of this were not always clearly identified.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff and leaders shared a common goal of ensuring people were receiving good care. Equality and diversity within the service was promoted. The provider told us about a number of improvements they had put in place for example staff training and electronic care planning. The provider told us they were open to change. There was evidence that the provider fostered an open culture where both people and staff felt they could speak up and share their feedback.

Leaders had a good understanding of the issues and priorities for the service. There was evidence issues and poor practice were addressed in a timely manner. One staff member told us: “Anything to do with the clients will be picked up immediately. There is no room for this to happen again.” Another staff member told us: “I have made a medicines error, and I had to come to the office straight away to discuss this.” Staff spoke positively about the leadership team. One staff member told us: "Management is fine. I’ve never had any issues and because we are small, we do help one another.”

People and staff told us they felt they could speak up and raise their concerns. One person told us: “If there was a problem I would contact the office. The communication is good.” One staff member told us: “I can speak to [staff name] and the registered manager. I had training on whistleblowing and would speak to CQC.” Another staff member told us: “Yes, I do feel like we have a good team. The majority are always willing to help each other, and we do feel we can ask for help from most people.” There were appropriate processes and procedures in place to support freedom to speak up for example a Whistleblowing policy. There was information available to staff in the training room regarding speaking up and raising concerns.

There was evidence the provider worked in line with the Equality and Diversity Act. Staff received training in Equality and Diversity. Staff felt they could speak up and raise concerns. Staff felt confident feedback and concerns would be followed up.

There was a registered manager in place at the time of our inspection. Staff and people spoke positively about the registered manager and provider. One staff member told us: “We do work well together, and you can always have a conversation with the management.” Another staff member told us: [Registered manager’s name] is lovely, and you can always speak with them.” There were clear responsibilities, roles and governance systems in place. We saw some evidence of oversight on both registered manager and provider level; however, this oversight had not always included detailed analysis of their findings, and actions taken as a result.

We did see some evidence of learning undertaken. For example, the provider showed us evidence regarding improved processes in relation to staff medicines training and medicines competencies checks following a serious medicines error. The registered manager did not always understand their responsibilities regarding submitting required notifications and responsibilities under MCA (Mental Capacity Act). However, following our feedback,the registered manager had taken a prompt action and they have since sought advice and guidance in regard to improving their future practice.

The provider told us they work with others to support meeting outcomes for people they cared for. There was a number of stakeholders and partners the provider worked with. The provider told us about work they do in the local community including sponsoring a local football team, donating hampers to the local bank food, donating money to the cancer trust or sponsoring trips for local Girls Guides. The provider told us they have a budget assigned for charity work.

We found some evidence of learning undertaken when areas of improvements were identified. For example,we saw evidence that the provider had improved their processes regarding staff training and and their competency checks following a serious medicines error. The registered manager sought guidance and advice following our feedback regarding their own responsibilities in submitting relevant notifications to us and working with the MCA.