# Cera Prescot

*Operated by Cera Homecare Limited.*

Cera Prescot is a CQC-regulated home-care agency in Liverpool.

## CQC Ratings

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

Rating published: 11/10/2023

## Practical info

- Postcode: L32 8UY
- Registered manager: Warburton, Stephen
- Local authority: Knowsley
- Region: North West
- City: Liverpool
- Last CQC check: 11/Oct/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2024-10-02
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2024-10-02

### effective

- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2024-10-02
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2024-10-02
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier lives
  - Published: 2024-10-02
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2024-10-02

### Other

- Finding
  - Evidence: The manager and provider were receptive and transparent during the inspection, taking immediate action to reduce risk.
  - Published: 2024-10-02
- Finding
  - Evidence: End of life wishes were discussed and recorded.
  - Published: 2024-10-02
- Finding
  - Evidence: People told us they were supported effectively with food and drink and staff knew their likes and dislikes.
  - Published: 2024-10-02
- Finding
  - Evidence: Staff mostly felt well supported through induction, shadowing, training, supervision and appraisals.
  - Published: 2024-10-02
- Finding
  - Evidence: Spot checks were regularly carried out to ensure staff followed good infection control practices when completing care calls.
  - Published: 2024-10-02
- Finding
  - Evidence: People and relatives provided positive feedback about the skills and experience of staff, describing them as kind, caring and respectful.
  - Published: 2024-10-02
- Finding
  - Evidence: Staff were recruited safely and deployed in sufficient numbers to meet people's needs, with no evidence of missed care calls.
  - Published: 2024-10-02
- **person_centred_care** _(moderate)_
  - Evidence: There was limited focus on positive behavioural support planning to better meet the needs of people with a learning disability and autistic people.
  - Published: 2024-10-02
- **leadership** _(moderate)_
  - Evidence: Leaders lacked awareness of best practice guidance in relation to supporting people with a learning disability and autistic people.
  - Published: 2024-10-02
- **communication_with_families** _(minor)_
  - Evidence: Some people described communication difficulties with office staff.
  - Published: 2024-10-02
- **staff_competency** _(critical)_
  - Evidence: Not all staff had their competency to administer medicines assessed. This meant there was a risk medicines could be administered by staff that did not have the skills to do so safely.
  - Published: 2024-10-02
- **record_keeping** _(minor)_
  - Evidence: A complaints management system was in place, however not all records were well maintained.
  - Published: 2024-10-02
- **consent_capacity** _(critical)_
  - Evidence: Consent to care and treatment had not been obtained in line with the principles of the MCA. This meant people were at risk of not having their human and legal rights upheld.
  - Published: 2024-10-02
- **care_planning** _(moderate)_
  - Evidence: Care plans that were in place lacked person centred detail. People's care needs were not always effectively reviewed to ensure care plans remained relevant and reflected their needs.
  - Published: 2024-10-02

### responsive

- Finding
  - End of life care and support
  - Published: 2024-10-02
- Finding
  - Meeting people's communication needs
  - Published: 2024-10-02
- Finding
  - Planning personalised care to ensure people have choice and control
  - Published: 2024-10-02
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2024-10-02

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2024-10-02
- Finding
  - Staffing and recruitment
  - Published: 2024-10-02
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2024-10-02
- Finding
  - Using medicines safely
  - Published: 2024-10-02

### well_led

- Finding
  - Promoting a positive culture; Working in partnership; Engaging people and staff; Duty of candour
  - Published: 2024-10-02
- Finding
  - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements; Continuous learning
  - Published: 2024-10-02

## 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/1-11476236906

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