# Community Outreach

*Operated by Community Outreach Ltd.*

Community Outreach is a CQC-regulated home-care agency in Sheffield.

## CQC Ratings

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

Rating published: 02/12/2023

## Practical info

- Postcode: S11 9GD
- Local authority: Sheffield
- Region: Yorkshire & Humberside
- City: Sheffield
- Last CQC check: 02/Dec/2023 - 00:00

## Inspection findings

### effective

- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2024-02-06
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2024-02-06
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2024-02-06
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2024-02-06

### Other

- Finding
  - Evidence: The nominated individual was open and honest during inspection and acknowledged need for improvement.
  - Published: 2024-02-06
- Finding
  - Evidence: Staff understood the importance of supporting people to make their own decisions and obtained consent before providing care.
  - Published: 2024-02-06
- Finding
  - Evidence: People were usually visited by the same staff who knew their needs and preferences.
  - Published: 2024-02-06
- Finding
  - Evidence: People were supported to eat and drink enough to maintain a balanced diet.
  - Published: 2024-02-06
- Finding
  - Evidence: Effective infection prevention and control measures; staff wore PPE consistently.
  - Published: 2024-02-06
- Finding
  - Evidence: Appropriate recruitment processes including DBS checks ensured only fit and proper staff were employed.
  - Published: 2024-02-06
- Finding
  - Evidence: People were safeguarded from the risk of abuse with effective systems for prompt action on safeguarding concerns.
  - Published: 2024-02-06
- **consent_capacity** _(minor)_
  - Evidence: Records did not always demonstrate people, or their legal representatives had consented to their care.
  - Published: 2024-02-06
- **record_keeping** _(moderate)_
  - Evidence: Records of care and support were not accurate or up to date...we were unable to identify if people had received the care and support they required.
  - Published: 2024-02-06
- **incident_learning** _(moderate)_
  - Evidence: Systems to monitor accidents and incidents were not effective and did not promote learning. Audits did not fully consider any emerging trends or themes.
  - Published: 2024-02-06
- **leadership** _(moderate)_
  - Evidence: The manager had limited oversight of the day to day running of the service. There was an over reliance on senior staff members to run the service.
  - Published: 2024-02-06
- **governance** _(critical)_
  - Evidence: Quality assurance systems were not effective in identifying issues and improving the service.
  - Published: 2024-02-06
- **supervision_appraisal** _(moderate)_
  - Evidence: Staff supervision and support was inconsistent and did not meet the needs of all staff. Overall staff said they felt 'unsupported'.
  - Published: 2024-02-06
- **staff_competency** _(moderate)_
  - Evidence: Staff received medication training but did not have their competency checked. Annual competency checks are best practice to ensure staff are safe to administer medicines.
  - Published: 2024-02-06
- **staff_training** _(critical)_
  - Evidence: 6 staff not having medicines administration training or an assessment of their competency to safely administer medicines, 4 staff not having life support training.
  - Published: 2024-02-06
- **care_planning** _(critical)_
  - Evidence: Where staff had to support a person with a catheter, there was no care plan in place to guide staff in how to safely support this person.
  - Published: 2024-02-06

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2024-02-06
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2024-02-06
- Finding
  - Staffing and recruitment
  - Published: 2024-02-06
- Finding
  - Using medicines safely
  - Published: 2024-02-06
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2024-02-06

### well_led

- Finding
  - Continuous learning and improving care; Working in partnership with others
  - Published: 2024-02-06
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2024-02-06
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2024-02-06
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2024-02-06
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks, and regulatory requirements
  - Published: 2024-02-06

## 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/1-10326087724

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