Operated by Ave Maria Care Ltd

Ave Maria Care (Wolverhampton)

Requires improvementRated 28/04/2022Home care · Wolverhampton

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CQC Key Questions

Safe

Requires improvement

People are protected from abuse and avoidable harm.

Effective

Requires improvement

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

Requires improvement

Leadership and culture support quality care.

What inspectors found

30 findings

Other

Note11 May 2023
Registered manager demonstrated clear understanding of medication dose transcription checks.
Note11 May 2023
New administrator and senior carer roles introduced to support monitoring and oversight.
Note11 May 2023
New governance and auditing systems introduced providing better oversight of the service.
Note11 May 2023
Care plans updated to include specific guidance for health conditions and audited regularly.
Note11 May 2023
Medicines now administered safely with side effects documented in care plans and EMAR.
Note11 May 2023
Safeguarding reporting systems improved; staff now able to identify and report abuse appropriately.
moderatestaff_training11 May 2023
During the last inspection staff were not always trained in peoples specific health conditions.
criticalgovernance11 May 2023
At the last inspection some audits were not thorough or regularly undertaken and therefore ineffective.
moderatecare_planning11 May 2023
During the last inspection we found care plans did not always contain information about people's health conditions.
criticalmedication_management11 May 2023
At the last inspection time specific medicines were not always administered at the correct time.
criticalsafeguarding11 May 2023
During the last inspection the system for reporting abuse was not clear for staff or managers.
Note4 Feb 2023
Infection prevention and control policy was up to date and infection outbreaks could be effectively managed
Note4 Feb 2023
Registered manager accessible and approachable to staff at any time
Note4 Feb 2023
Service working within principles of the Mental Capacity Act with appropriate legal authorisations in place
Note4 Feb 2023
Staffing levels improved following recruitment; care call issues had reduced
Note4 Feb 2023
Provider worked in partnership with health and social care professionals with appropriate referrals to GPs and district nurses
Note4 Feb 2023
Registered manager investigated complaints openly and honestly and acted on concerns raised

safe

Note11 May 2023
Assessing risk, safety monitoring and management, Using medicines safely
Note11 May 2023
Systems and processes to safeguard people from the risk of abuse
Note4 Feb 2023
Learning lessons when things go wrong
Note4 Feb 2023
Preventing and controlling infection
Note4 Feb 2023
Staffing and recruitment
Note4 Feb 2023
Assessing risk, safety monitoring and management; Using medicines safely

well_led

Note11 May 2023
Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
Note4 Feb 2023
Working in partnership with others
Note4 Feb 2023
How the provider understands and acts on the duty of candour
Note4 Feb 2023
Engaging and involving people using the service, the public and staff; Continuous learning and improving care
Note4 Feb 2023
Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
Note4 Feb 2023