# Excel Healthcare Services Ltd

Excel Healthcare Services Ltd is a CQC-regulated home-care agency in Wakefield.

## 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: 07/12/2022

## Practical info

- Postcode: WF1 1LR
- Registered manager: Edward, Orla
- Local authority: Wakefield
- Region: Yorkshire & Humberside
- City: Wakefield
- Last CQC check: 08/Jun/2023 - 00:00

## Inspection findings

### effective

- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2023-11-24
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-11-24
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-11-24
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-11-24
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-11-24

### Other

- Finding
  - Evidence: The service was no longer in Special Measures having improved from an Inadequate rating.
  - Published: 2023-11-24
- Finding
  - Evidence: Staff had access to care records via a new online system and daily call logs were detailed.
  - Published: 2023-11-24
- Finding
  - Evidence: Registered manager understood duty of candour responsibilities and reported notifiable incidents.
  - Published: 2023-11-24
- Finding
  - Evidence: People and relatives expressed positive feedback about the care provided and felt safe.
  - Published: 2023-11-24
- Finding
  - Evidence: Complaints systems were effective in recording, investigating and responding to complaints.
  - Published: 2023-11-24
- Finding
  - Evidence: New online system introduced to monitor accidents and incidents with lessons learned from these.
  - Published: 2023-11-24
- Finding
  - Evidence: Staff were recruited safely with DBS checks in place for all staff.
  - Published: 2023-11-24
- Finding
  - Evidence: Safeguarding systems were implemented; concerns were logged and reported to CQC and local authority as required.
  - Published: 2023-11-24
- Finding
  - Evidence: Medicines were safely managed and people received their medicines as prescribed, with accurate records monitored via an online system.
  - Published: 2023-11-24
- **person_centred_care** _(minor)_
  - Evidence: Some records remained vague about people's choices... Care plans could be improved to provide more person-centred detail about people's choices and wishes.
  - Published: 2023-11-24
- **communication_with_families** _(minor)_
  - Evidence: Some people and their relatives told us they were sometimes having trouble communicating with some staff due to English not being their first language.
  - Published: 2023-11-24
- **medication_management** _(minor)_
  - Evidence: Staff had received medicines training and initial competency checks. Improvement was needed to ensure staff received ongoing medicines competency assessments.
  - Published: 2023-11-24
- **staff_training** _(moderate)_
  - Evidence: Staff still required training about the MCA and how this is applied into practice.
  - Published: 2023-11-24

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-11-24
- Finding
  - Meeting people's communication needs
  - Published: 2023-11-24
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2023-11-24

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-11-24
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-11-24
- Finding
  - Staffing and recruitment
  - Published: 2023-11-24
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-11-24
- Finding
  - Using medicines safely
  - Published: 2023-11-24
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-11-24

### well_led

- Finding
  - Engaging and involving people, continuous learning and improving care, working in partnership with others
  - Published: 2023-11-24
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-11-24
- Finding
  - Promoting a positive culture; managers and staff being clear about their roles and understanding quality performance, risks, and regulatory requirements
  - Published: 2023-11-24

## 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/1-12088474782

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