# Ave Maria Care (Wolverhampton)

*Operated by Ave Maria Care Ltd.*

Ave Maria Care (Wolverhampton) is a CQC-regulated home-care agency in Wolverhampton.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Requires improvement |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 28/04/2022

## Practical info

- Postcode: WV4 6JX
- Registered manager: Woodward, Lesley Marie
- Local authority: Wolverhampton
- Region: West Midlands
- City: Wolverhampton
- Last CQC check: 11/May/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Registered manager demonstrated clear understanding of medication dose transcription checks.
  - Published: 2023-05-11
- Finding
  - Evidence: New administrator and senior carer roles introduced to support monitoring and oversight.
  - Published: 2023-05-11
- Finding
  - Evidence: New governance and auditing systems introduced providing better oversight of the service.
  - Published: 2023-05-11
- Finding
  - Evidence: Care plans updated to include specific guidance for health conditions and audited regularly.
  - Published: 2023-05-11
- Finding
  - Evidence: Medicines now administered safely with side effects documented in care plans and EMAR.
  - Published: 2023-05-11
- Finding
  - Evidence: Safeguarding reporting systems improved; staff now able to identify and report abuse appropriately.
  - Published: 2023-05-11
- **staff_training** _(moderate)_
  - Evidence: During the last inspection staff were not always trained in peoples specific health conditions.
  - Published: 2023-05-11
- **governance** _(critical)_
  - Evidence: At the last inspection some audits were not thorough or regularly undertaken and therefore ineffective.
  - Published: 2023-05-11
- **care_planning** _(moderate)_
  - Evidence: During the last inspection we found care plans did not always contain information about people's health conditions.
  - Published: 2023-05-11
- **medication_management** _(critical)_
  - Evidence: At the last inspection time specific medicines were not always administered at the correct time.
  - Published: 2023-05-11
- **safeguarding** _(critical)_
  - Evidence: During the last inspection the system for reporting abuse was not clear for staff or managers.
  - Published: 2023-05-11
- Finding
  - Evidence: Infection prevention and control policy was up to date and infection outbreaks could be effectively managed
  - Published: 2023-02-04
- Finding
  - Evidence: Registered manager accessible and approachable to staff at any time
  - Published: 2023-02-04
- Finding
  - Evidence: Service working within principles of the Mental Capacity Act with appropriate legal authorisations in place
  - Published: 2023-02-04
- Finding
  - Evidence: Staffing levels improved following recruitment; care call issues had reduced
  - Published: 2023-02-04
- Finding
  - Evidence: Provider worked in partnership with health and social care professionals with appropriate referrals to GPs and district nurses
  - Published: 2023-02-04
- Finding
  - Evidence: Registered manager investigated complaints openly and honestly and acted on concerns raised
  - Published: 2023-02-04

### safe

- Finding
  - Assessing risk, safety monitoring and management, Using medicines safely
  - Published: 2023-05-11
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-05-11
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-02-04
- Finding
  - Preventing and controlling infection
  - Published: 2023-02-04
- Finding
  - Staffing and recruitment
  - Published: 2023-02-04
- Finding
  - Assessing risk, safety monitoring and management; Using medicines safely
  - Published: 2023-02-04
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-02-04

### well_led

- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-05-11
- Finding
  - Working in partnership with others
  - Published: 2023-02-04
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-02-04
- Finding
  - Engaging and involving people using the service, the public and staff; Continuous learning and improving care
  - Published: 2023-02-04
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-02-04
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-02-04

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-10090641405

HomeCare Compass is an independent guide and is not affiliated with the CQC.