# PI Care

*Operated by Promoting Independent Care Ltd.*

PI Care is a CQC-regulated home-care agency in Bristol.

## CQC Ratings

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

Rating published: 29/03/2023

## Practical info

- Postcode: BS32 9BT
- Registered manager: Cole, Charlotte
- Local authority: South Gloucestershire
- Region: South West
- City: Bristol
- Last CQC check: 29/Mar/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2022-11-23
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2022-11-23

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-11-23
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2022-11-23
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2022-11-23
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-11-23
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2022-11-23

### Other

- Finding
  - Evidence: Additional specialist training commissioned to address concerns about complex needs.
  - Published: 2023-03-29
- Finding
  - Evidence: Staff received training in safeguarding, MCA, infection control, and restrictive practice.
  - Published: 2023-03-29
- Finding
  - Evidence: Provider worked with wide range of external stakeholders to manage risk and improve outcomes.
  - Published: 2023-03-29
- Finding
  - Evidence: Post-incident reviews conducted after restrictive practice to identify future risk reduction.
  - Published: 2023-03-29
- Finding
  - Evidence: Provider no longer in breach of Regulations 12, 17, 18, or 19 following improvements since last inspection.
  - Published: 2023-03-29
- Finding
  - Evidence: Staff demonstrated clear understanding of individuals' needs, risks, and communication methods.
  - Published: 2023-03-29
- Finding
  - Evidence: Recruitment processes strengthened with DBS checks, references, and recruitment audits now in place.
  - Published: 2023-03-29
- Finding
  - Evidence: Medicines management improved since last inspection; MAR records complete with dose, method, timings, allergies, and preferences.
  - Published: 2023-03-29
- **communication_with_families** _(minor)_
  - Evidence: Comments included, 'The management and their communication is really awful'... 'communication had been variable'.
  - Published: 2023-03-29
- **staff_competency** _(moderate)_
  - Evidence: Two professionals felt staff knowledge and training were insufficient. One said they had, 'grave concerns' about the service.
  - Published: 2023-03-29
- **safeguarding** _(critical)_
  - Evidence: An allegation was made about physical abuse of a person by a member of staff. Other professionals asked the provider to investigate the allegation, but they were not confident in the initial investigation.
  - Published: 2023-03-29
- **incident_learning** _(moderate)_
  - Evidence: The provider had not always been proactive in identifying potential concerns and taking appropriate actions to improve or mitigate risk.
  - Published: 2023-03-29
- **leadership** _(moderate)_
  - Evidence: At the time of our inspection there was not a registered manager in post. A new manager had been in post for around 6 weeks and planned to apply to register with CQC.
  - Published: 2023-03-29
- **governance** _(moderate)_
  - Evidence: Due to the relatively short time frame since the last inspection, we were unable to evidence the improvements were truly embedded and systems of governance were consistently robust, reflective and transparent.
  - Published: 2023-03-29

### responsive

- Finding
  - End of life care and support
  - Published: 2022-11-23
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-11-23
- Finding
  - Meeting people's communication needs
  - Published: 2022-11-23
- Finding
  - Planning personalised care to ensure people have choice and control
  - Published: 2022-11-23

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-11-23
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-11-23
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-11-23
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-11-23
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-11-23

## 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/1-11384215858

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