# Complete Care 4 U Limited

Complete Care 4 U Limited is a CQC-regulated home-care agency in Bolton.

## CQC Ratings

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

Rating published: 03/06/2023

## Practical info

- Postcode: BL3 5BH
- Registered manager: Patel, Husna Banu
- Local authority: Bolton
- Region: North West
- City: Bolton
- Last CQC check: 03/Jun/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: No complaints had been received and people knew how to raise concerns.
  - Published: 2023-06-29
- Finding
  - Evidence: People and relatives were complimentary about communication and feedback processes from the service.
  - Published: 2023-06-29
- Finding
  - Evidence: The registered manager took prompt action following inspection to implement new systems for recruitment and medicines monitoring.
  - Published: 2023-06-29
- Finding
  - Evidence: People's care records contained risk assessments and support plans covering personal and health care needs.
  - Published: 2023-06-29
- Finding
  - Evidence: A recent safeguarding matter was dealt with appropriately and actions taken to learn from the incident.
  - Published: 2023-06-29
- Finding
  - Evidence: Staff correctly used PPE including gloves, aprons and masks when carrying out personal care.
  - Published: 2023-06-29
- Finding
  - Evidence: Staff were up to date with mandatory training including safeguarding and infection control.
  - Published: 2023-06-29
- Finding
  - Evidence: People and relatives praised carers as kind, caring, respectful, reliable and professional.
  - Published: 2023-06-29
- **record_keeping** _(moderate)_
  - Evidence: Regular quality assurance checks of the MARs had not been carried out. This meant the incorrect administration of paracetamol had not been identified.
  - Published: 2023-06-29
- **governance** _(moderate)_
  - Evidence: The provider's governance systems had not identified shortfalls in recruitment processes and medicines documentation.
  - Published: 2023-06-29
- **medication_management** _(moderate)_
  - Evidence: 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.
  - Published: 2023-06-29
- **record_keeping** _(critical)_
  - Evidence: Application forms did not provide an assurance that any gaps in employment history had been explored and a satisfactory explanation received.
  - Published: 2023-06-29
- **staffing_levels** _(critical)_
  - Evidence: The recruitment process did not always guarantee thorough pre-employment checks had been completed.
  - Published: 2023-06-29

### responsive

- Finding
  - End of life care and support
  - Published: 2022-11-04
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-11-04
- Finding
  - Meeting people's communication needs
  - Published: 2022-11-04
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2022-11-04

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-06-29
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-06-29
- Finding
  - Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrong
  - Published: 2023-06-29
- Finding
  - Using medicines safely
  - Published: 2023-06-29
- Finding
  - Staffing and recruitment
  - Published: 2023-06-29

### well_led

- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-06-29
- Finding
  - Engaging and involving people using the service, the public and staff; Working in partnership with others
  - Published: 2023-06-29
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-06-29
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2023-06-29
- Finding
  - Working in partnership with others
  - Published: 2022-11-04
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-11-04
- Finding
  - How the provider understands and acts on the duty of candour; Continuous learning and improving care
  - Published: 2022-11-04
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-11-04

## 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/1-11260003222

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