# Mencap in Kirklees (DCA)

*Operated by Mencap in Kirklees.*

Mencap in Kirklees (DCA) is a CQC-regulated home-care agency in Huddersfield.

## CQC Ratings

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

Rating published: 04/04/2018

## Practical info

- Postcode: HD3 3HN
- Registered manager: Sims, Tracy
- Local authority: Kirklees
- Region: Yorkshire & Humberside
- City: Huddersfield
- Last CQC check: 21/Dec/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Mental capacity assessed appropriately; staff demonstrated good understanding of MCA principles.
  - Published: 2023-12-21
- Finding
  - Evidence: Quarterly infection prevention and control audits completed in each supported living house with issues addressed.
  - Published: 2023-12-21
- Finding
  - Evidence: Relatives and people using the service highly complimentary of management accessibility and responsiveness.
  - Published: 2023-12-21
- Finding
  - Evidence: Good incident learning demonstrated through analysis of a serious unwell episode and sharing of learning across the service.
  - Published: 2023-12-21
- Finding
  - Evidence: Effective partnership working with health and social care professionals and community initiatives such as 'Community Circles'.
  - Published: 2023-12-21
- Finding
  - Evidence: Positive open culture with staff, people and relatives able to express opinions and make suggestions; quality assurance surveys analysed and acted upon.
  - Published: 2023-12-21
- Finding
  - Evidence: Strong safeguarding awareness with appropriate referrals made to the local authority safeguarding team when needed.
  - Published: 2023-12-21
- Finding
  - Evidence: Safe recruitment processes including DBS checks and references completed before staff commenced work.
  - Published: 2023-12-21
- Finding
  - Evidence: Person-centred risk assessments reviewed at least monthly, with sufficient detail to mitigate risks without restricting lifestyles.
  - Published: 2023-12-21
- Finding
  - Evidence: Staff supported people to have choice and control in their care, working in the least restrictive way possible in line with Right Support, Right Care, Right Culture guidance.
  - Published: 2023-12-21
- **governance** _(minor)_
  - Evidence: Although neither of these issues had been identified through auditing...the management team agreed that the auditing of medication management could be made more robust.
  - Published: 2023-12-21
- **medication_management** _(minor)_
  - Evidence: We saw a few recording gaps on some older Medication administration records (MARs) and handwritten MARs did not always show clear dates.
  - Published: 2023-12-21

## 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/1-10198800942

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