# Graceful Hands Care

*Operated by Graceful Hands Care Ltd.*

Graceful Hands Care is a CQC-regulated home-care agency in Chatham.

## CQC Ratings

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

Rating published: 18/03/2023

## Practical info

- Postcode: ME4 6BA
- Registered manager: Okor, Priscilla
- Local authority: Medway
- Region: South East
- City: Chatham
- Last CQC check: 18/Mar/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in making decisions
  - Published: 2023-04-04
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2023-04-04
- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2023-04-04

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-04-04
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-04-04
- Finding
  - Assessing people's needs and choices; delivering care in line with standards
  - Published: 2023-04-04
- Finding
  - Supporting people to live healthier lives; staff working with other agencies
  - Published: 2023-04-04

### Other

- Finding
  - Evidence: Pre-admission assessments were carried out to ensure people's needs could be met.
  - Published: 2023-04-04
- Finding
  - Evidence: Medicines systems and staff competency checks were in place despite no current medicines support needed.
  - Published: 2023-04-04
- Finding
  - Evidence: People and relatives commented positively about care staff and the registered manager.
  - Published: 2023-04-04
- Finding
  - Evidence: People's care records documented culture and religion; people could choose call times and gender of care staff.
  - Published: 2023-04-04
- Finding
  - Evidence: People's privacy, dignity and independence were respected by staff.
  - Published: 2023-04-04
- Finding
  - Evidence: Staff had completed up to date mandatory training including safeguarding, medicines, manual handling and infection control.
  - Published: 2023-04-04
- Finding
  - Evidence: Infection control was appropriately managed with adequate PPE available and used by staff.
  - Published: 2023-04-04
- Finding
  - Evidence: Staff were effectively deployed and visits were on time; relatives confirmed staff informed them if late.
  - Published: 2023-04-04
- **end_of_life_care** _(minor)_
  - Evidence: Care records did not contain advance decisions about people's choices about the end of their life. The registered manager told us that they had explored this with people where appropriate, but not documented this.
  - Published: 2023-04-04
- **consent_capacity** _(moderate)_
  - Evidence: Staff had not completed Mental Capacity training to help them understand the principles of the MCA, and so, they could understand the importance of gaining people's consent.
  - Published: 2023-04-04

### responsive

- Finding
  - End of life care and support
  - Published: 2023-04-04
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-04-04
- Finding
  - Planning personalised care to ensure people have choice and control
  - Published: 2023-04-04
- Finding
  - Meeting people's communication needs
  - Published: 2023-04-04

### safe

- Finding
  - Using medicines safely
  - Published: 2023-04-04
- Finding
  - Preventing and controlling infection
  - Published: 2023-04-04
- Finding
  - Systems and processes to safeguard people; learning lessons when things go wrong
  - Published: 2023-04-04
- Finding
  - Staffing and recruitment
  - Published: 2023-04-04
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-04-04

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-04-04
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-04-04
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-04-04
- Finding
  - Managers and staff being clear about their roles; continuous learning and improving care
  - Published: 2023-04-04

## 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/1-11725605143

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