# North London Adult Care Ltd

North London Adult Care Ltd is a CQC-regulated home-care agency in London.

## CQC Ratings

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

Rating published: 03/03/2023

## Practical info

- Postcode: N11 2JH
- Registered manager: Sharma, Naveen
- Local authority: Enfield
- Region: London
- City: London
- Last CQC check: 03/Mar/2023 - 00:00

## Inspection findings

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-03-03
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2023-03-03
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-03-03
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-03-03
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-03-03

### Other

- Finding
  - Evidence: Registered manager took immediate remedial action on all issues raised during inspection.
  - Published: 2023-03-03
- Finding
  - Evidence: People supported with culturally appropriate meals and religious needs respected.
  - Published: 2023-03-03
- Finding
  - Evidence: Effective multi-agency working with GPs, district nurses and physiotherapists.
  - Published: 2023-03-03
- Finding
  - Evidence: Positive culture with accessible management; customer service training completed following previous recommendation.
  - Published: 2023-03-03
- Finding
  - Evidence: Electronic call monitoring system enabled rapid response to late or missed visits.
  - Published: 2023-03-03
- Finding
  - Evidence: Mandatory training completed; induction included shadowing with experienced staff.
  - Published: 2023-03-03
- Finding
  - Evidence: Low staff turnover supported consistent care from staff who knew people well.
  - Published: 2023-03-03
- Finding
  - Evidence: Service specialises in cultural and linguistic matching; most people had a care worker who spoke the same language.
  - Published: 2023-03-03
- Finding
  - Evidence: Staff arrived on time and stayed for the agreed amount of time; people reported no missed calls or late visits.
  - Published: 2023-03-03
- **consent_capacity** _(moderate)_
  - Evidence: A relative was described as having lasting power of attorney in error...only people with legal authorisation were able to make decisions on behalf of a person.
  - Published: 2023-03-03
- **governance** _(minor)_
  - Evidence: One staff did not have a reference from their last employer in care and this had not been picked up at interview or when their file was audited. Another worker had an unexplained gap in employment.
  - Published: 2023-03-03
- **record_keeping** _(moderate)_
  - Evidence: Some files contained details of the person's legal representative when they did not have one. For example, a relative was described as having lasting power of attorney in error.
  - Published: 2023-03-03
- **staff_competency** _(moderate)_
  - Evidence: The assessment of their competency in giving medicines was not recorded although we saw this was checked at spot checks of care workers carrying out their duties.
  - Published: 2023-03-03
- **staff_training** _(moderate)_
  - Evidence: Records showed staff had not been trained in managing diabetes. Many staff did not have up to date training on pressure ulcer awareness.
  - Published: 2023-03-03
- **care_planning** _(critical)_
  - Evidence: One person's risk assessment and care plan did not contain important information about the risks associated with their diabetes nor details of who was responsible for administering their insulin
  - Published: 2023-03-03

### safe

- Finding
  - Using medicines safely; Learning lessons when things go wrong
  - Published: 2023-03-03
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-03-03
- Finding
  - Preventing and controlling infection
  - Published: 2023-03-03
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-03-03
- Finding
  - Staffing and recruitment
  - Published: 2023-03-03

### well_led

- Finding
  - Engaging and involving people, continuous learning and improving care
  - Published: 2023-03-03
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-03-03
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-03-03
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-03-03

## 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/1-112989020

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