# Utmostcare Limited

Utmostcare Limited is a CQC-regulated home-care agency in Aylesbury.

## 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: 12/11/2022

## Practical info

- Postcode: HP20 2NQ
- Registered manager: Katsaruware, Fildah
- Local authority: Buckinghamshire
- Region: South East
- City: Aylesbury
- Last CQC check: 12/Nov/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2022-12-13
- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2022-12-13
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2022-12-13

### effective

- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2022-12-13
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2022-12-13
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-12-13
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2022-12-13
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-12-13

### Other

- Finding
  - Evidence: Staff received ongoing support via supervisions, spot checks, weekly and monthly meetings.
  - Published: 2022-12-13
- Finding
  - Evidence: The service was responsive to inspection feedback, taking prompt action including contacting GPs to clarify prescriptions and updating records.
  - Published: 2022-12-13
- Finding
  - Evidence: Safeguarding processes were robust; staff could identify signs of abuse and understood reporting responsibilities.
  - Published: 2022-12-13
- Finding
  - Evidence: Management maintained an open-door policy and was accessible to people, families and staff at all times.
  - Published: 2022-12-13
- Finding
  - Evidence: The service worked effectively with multi-agency partners including enabling timely hospital discharges, receiving professional commendations.
  - Published: 2022-12-13
- Finding
  - Evidence: Staff completed a training and induction programme including Care Certificate, e-learning and competency assessments.
  - Published: 2022-12-13
- Finding
  - Evidence: People told us staff were kind, caring and treated them with dignity and respect; people felt safe with their carers.
  - Published: 2022-12-13
- **person_centred_care** _(minor)_
  - Evidence: The service had not formally documented care plan review discussions where people received ongoing, rather than short-term care.
  - Published: 2022-12-13
- **staffing_levels** _(moderate)_
  - Evidence: Rotas showed staff were not consistently given sufficient travel time, and staff did not consistently stay for the scheduled visit length.
  - Published: 2022-12-13
- **consent_capacity** _(moderate)_
  - Evidence: Some people's care plans contained statements regarding their mental capacity, without evidence of a decision specific mental capacity assessment having taken place.
  - Published: 2022-12-13

### responsive

- Finding
  - End of life care and support
  - Published: 2022-12-13
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-12-13
- Finding
  - Meeting people's communication needs
  - Published: 2022-12-13
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2022-12-13

### safe

- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-12-13
- Finding
  - Staffing and recruitment
  - Published: 2022-12-13
- Finding
  - Preventing and controlling infection
  - Published: 2022-12-13
- Finding
  - Using medicines safely
  - Published: 2022-12-13
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2022-12-13

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-12-13
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-12-13
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-12-13

## 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/1-10369345270

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