Complete Care 4 U Limited

Requires improvementRated 6 Mar 2023Home care · Bolton

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CQC Key Questions

Safe

Requires improvement

People are protected from abuse and avoidable harm.

Effective

Good

Care achieves good outcomes and quality of life.

Caring

Good

Staff treat people with compassion, dignity, respect.

Responsive

Good

Services are tailored to people's needs.

Well-led

Requires improvement

Leadership and culture support quality care.

What inspectors found

30 findings

Other

Note29 Jun 2023
No complaints had been received and people knew how to raise concerns.
Note29 Jun 2023
People and relatives were complimentary about communication and feedback processes from the service.
Note29 Jun 2023
The registered manager took prompt action following inspection to implement new systems for recruitment and medicines monitoring.
Note29 Jun 2023
People's care records contained risk assessments and support plans covering personal and health care needs.
Note29 Jun 2023
A recent safeguarding matter was dealt with appropriately and actions taken to learn from the incident.
Note29 Jun 2023
Staff correctly used PPE including gloves, aprons and masks when carrying out personal care.
Note29 Jun 2023
Staff were up to date with mandatory training including safeguarding and infection control.
Note29 Jun 2023
People and relatives praised carers as kind, caring, respectful, reliable and professional.
moderaterecord_keeping29 Jun 2023
Regular quality assurance checks of the MARs had not been carried out. This meant the incorrect administration of paracetamol had not been identified.
moderategovernance29 Jun 2023
The provider's governance systems had not identified shortfalls in recruitment processes and medicines documentation.
moderatemedication_management29 Jun 2023
one person was prescribed paracetamol for pain relief. We found on several occasions the time gap between doses had been recorded as less than the recommended 4-6 hours.
criticalrecord_keeping29 Jun 2023
Application forms did not provide an assurance that any gaps in employment history had been explored and a satisfactory explanation received.
criticalstaffing_levels29 Jun 2023
The recruitment process did not always guarantee thorough pre-employment checks had been completed.

responsive

Note4 Nov 2022
End of life care and support
Note4 Nov 2022
Improving care quality in response to complaints or concerns
Note4 Nov 2022
Meeting people's communication needs
Note4 Nov 2022
Planning personalised care to ensure people have choice and control and to meet their needs and preferences

safe

Note29 Jun 2023
Preventing and controlling infection
Note29 Jun 2023
Assessing risk, safety monitoring and management
Note29 Jun 2023
Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrong
Note29 Jun 2023
Using medicines safely
Note29 Jun 2023
Staffing and recruitment

well_led

Note29 Jun 2023
How the provider understands and acts on the duty of candour
Note29 Jun 2023
Engaging and involving people using the service, the public and staff; Working in partnership with others
Note29 Jun 2023
Promoting a positive culture that is person-centred, open, inclusive and empowering
Note29 Jun 2023
Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving care
Note4 Nov 2022
Working in partnership with others
Note4 Nov 2022