# Enigma Clinical Solutions Ltd

Enigma Clinical Solutions Ltd is a CQC-regulated home-care agency in Weston-super-mare.

## CQC Ratings

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

Rating published: 28/03/2023

## Practical info

- Postcode: BS22 7SB
- Registered manager: Harry, Scott
- Local authority: North Somerset
- Region: South West
- City: Weston-super-mare
- Last CQC check: 28/Mar/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2023-03-28
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2023-03-28

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-03-28
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2023-03-28
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-03-28
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-03-28
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-03-28

### Other

- Finding
  - Evidence: Following inspection, the provider promptly supplied updated risk assessments and care plan examples.
  - Published: 2023-03-28
- Finding
  - Evidence: The registered manager understood and could articulate their duty of candour responsibilities.
  - Published: 2023-03-28
- Finding
  - Evidence: The service worked with external health and social care professionals including GPs and social workers.
  - Published: 2023-03-28
- Finding
  - Evidence: Policies referenced the Mental Capacity Act and staff demonstrated understanding of consent principles.
  - Published: 2023-03-28
- Finding
  - Evidence: Staff spoke positively about the management team and described good internal communication.
  - Published: 2023-03-28
- Finding
  - Evidence: Robust pre-employment checks including DBS, proof of identity and employment history were in place.
  - Published: 2023-03-28
- Finding
  - Evidence: Staff had received safeguarding training and understood their responsibility to report concerns; the single recorded incident was appropriately reported.
  - Published: 2023-03-28
- **communication_with_families** _(minor)_
  - Evidence: Some people and their relatives told us communication with the service was not effective. A person said, 'Major issues with the telephone contact numbers.'
  - Published: 2023-03-28
- **complaints_handling** _(minor)_
  - Evidence: During the inspection we became aware of a complaint which had not been recorded in line with procedure.
  - Published: 2023-03-28
- **infection_control** _(moderate)_
  - Evidence: People and their relatives told us PPE was not always used appropriately. A person said, 'PPE very random, no aprons, gloves, sometimes mask.' Another person said, 'No PPE worn.'
  - Published: 2023-03-28
- **record_keeping** _(moderate)_
  - Evidence: Staff induction records were mostly unavailable. Medicines records were not being kept. Staff meetings were not always recorded.
  - Published: 2023-03-28
- **supervision_appraisal** _(moderate)_
  - Evidence: Staff induction records including sessions shadowing another member of staff and spot checks completed by a supervisor were mostly unavailable when we visited the providers office.
  - Published: 2023-03-28

### responsive

- Finding
  - Meeting people's communication needs
  - Published: 2023-03-28
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-03-28
- Finding
  - Planning personalised care to ensure people have choice and control
  - Published: 2023-03-28

### safe

- Finding
  - Systems and processes to safeguard people; Learning lessons when things go wrong
  - Published: 2023-03-28
- Finding
  - Preventing and controlling infection
  - Published: 2023-03-28
- Finding
  - Staffing and recruitment
  - Published: 2023-03-28
- Finding
  - Using medicines safely
  - Published: 2023-03-28
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-03-28

### well_led

- Finding
  - Duty of candour
  - Published: 2023-03-28
- Finding
  - Working in partnership with others; Continuous learning and improving care
  - Published: 2023-03-28
- Finding
  - Managers and staff being clear about their roles; quality performance, risks and regulatory requirements
  - Published: 2023-03-28

## 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/1-11652952163

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