# Access 24/7 Healthcare Ltd

*Operated by Access 24/7 Health Care Ltd.*

Access 24/7 Healthcare Ltd is a CQC-regulated home-care agency in Grays.

## CQC Ratings

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

Rating published: 17/06/2025

## Practical info

- Postcode: RM20 3JT
- Registered manager: Nkire, Mary
- Local authority: Thurrock
- Region: East
- City: Grays
- Last CQC check: 17/Jun/2025 - 00:00

## Inspection findings

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-11-18
- Finding
  - Staff working with other agencies; supporting people to live healthier lives and access healthcare
  - Published: 2023-11-18
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-11-18
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-11-18
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-11-18

### Other

- Finding
  - Evidence: Most relatives were happy with care and would recommend the service.
  - Published: 2023-11-18
- Finding
  - Evidence: The service worked in partnership with the Local Authority, ICB and other healthcare professionals.
  - Published: 2023-11-18
- Finding
  - Evidence: Staff understood MCA principles and sought consent before providing support.
  - Published: 2023-11-18
- Finding
  - Evidence: People's needs, protected characteristics, nutritional needs and capacity were assessed and recorded prior to care commencement.
  - Published: 2023-11-18
- Finding
  - Evidence: People were protected from infection risk; adequate PPE was supplied and staff received IPC and food hygiene training.
  - Published: 2023-11-18
- Finding
  - Evidence: Risks to people were identified, assessed, and recorded; staff demonstrated understanding of individual risk management.
  - Published: 2023-11-18
- Finding
  - Evidence: Staff had up-to-date safeguarding training and could describe types of abuse and actions to take.
  - Published: 2023-11-18
- Finding
  - Evidence: People were primarily supported by a core group of staff ensuring continuity of care.
  - Published: 2023-11-18
- Finding
  - Evidence: Relatives confirmed they had not experienced any missed calls; staff were described as reliable and always staying the full allocated time.
  - Published: 2023-11-18
- **leadership** _(moderate)_
  - Evidence: Their lack of oversight and effective monitoring meant they could not be assured specific tasks delegated to others were happening in line with regulatory requirements.
  - Published: 2023-11-18
- **incident_learning** _(moderate)_
  - Evidence: Reporting of incidents, issues and concerns were inconsistent. Statutory notifications to the Care Quality Commission were delayed and not forwarded to us in a timely manner.
  - Published: 2023-11-18
- **record_keeping** _(moderate)_
  - Evidence: Record keeping arrangements at the service were ineffective. Accessing information during the inspection proved very difficult. Staff were unable to find and share requested documents in a timely manner.
  - Published: 2023-11-18
- **governance** _(critical)_
  - Evidence: The quality assurance and governance arrangements in place were not effective in identifying shortfalls in the service. The provider had not identified these failings.
  - Published: 2023-11-18
- **supervision_appraisal** _(moderate)_
  - Evidence: Supervisions were not undertaken at regular intervals in line with the provider's expectations. Suitable arrangements were not in place to ensure all newly employed staff had received a robust induction.
  - Published: 2023-11-18
- **staff_training** _(critical)_
  - Evidence: The provider did not ensure all staff employed at the service had received specific training relating to people who were autistic or who had a learning disability.
  - Published: 2023-11-18
- **staff_competency** _(critical)_
  - Evidence: An assessment of competence relating to specific topics had not been considered or completed for all staff. For example, bathing practices, tracheostomy, catheter, and stoma care.
  - Published: 2023-11-18

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-11-18
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-11-18
- Finding
  - Staffing and recruitment
  - Published: 2023-11-18
- Finding
  - Systems and processes to safeguard people from abuse; learning lessons when things go wrong
  - Published: 2023-11-18
- Finding
  - Using medicines safely
  - Published: 2023-11-18

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-11-18
- Finding
  - Engaging and involving people, the public and staff; considering equality characteristics
  - Published: 2023-11-18
- Finding
  - Managers and staff being clear about their roles; understanding quality, performance, risks and regulatory requirements
  - Published: 2023-11-18
- Finding
  - Promoting a positive culture; duty of candour; continuous learning and improving care
  - Published: 2023-11-18

## 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/1-10153953405

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