# St Anne's Community Services - Leeds DCA

*Operated by St Anne's Community Services.*

St Anne's Community Services - Leeds DCA is a CQC-regulated home-care agency in Leeds.

## CQC Ratings

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

Rating published: 23/12/2023

## Practical info

- Postcode: LS2 9BN
- Registered manager: Jones, Samantha
- Local authority: Leeds
- Region: Yorkshire & Humberside
- City: Leeds
- Last CQC check: 23/Dec/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Complaints were followed up with appropriate actions and people felt comfortable raising concerns.
  - Published: 2024-01-24
- Finding
  - Evidence: MCA compliance: capacity assessments completed and staff trained in MCA principles.
  - Published: 2024-01-24
- Finding
  - Evidence: Infection control measures were in place; staff trained in PPE use.
  - Published: 2024-01-24
- Finding
  - Evidence: People and relatives reported feeling safe, happy with care, and able to raise concerns.
  - Published: 2024-01-24
- Finding
  - Evidence: Staff felt supported by the management team and received regular supervisions and competency assessments.
  - Published: 2024-01-24
- Finding
  - Evidence: Accidents and incidents were recorded, investigated, and lessons learnt were documented.
  - Published: 2024-01-24
- Finding
  - Evidence: Safeguarding policies and procedures were in place; staff trained in safeguarding and knew how to identify and report concerns.
  - Published: 2024-01-24
- Finding
  - Evidence: Staffing levels were sufficient to meet people's needs and staff had enough time on calls.
  - Published: 2024-01-24
- **record_keeping** _(moderate)_
  - Evidence: Records were not always detailed or accurate. We found issues relating to records within risk assessments, medicines and quality assurance processes.
  - Published: 2024-01-24
- **missed_or_late_visits** _(moderate)_
  - Evidence: Staff visits were not audited to ensure missed or later visits did not occur. People and their relatives told us visits were often cancelled or missed due to staff sickness.
  - Published: 2024-01-24
- **incident_learning** _(critical)_
  - Evidence: We identified 5 incidents which had not been reported to the CQC.
  - Published: 2024-01-24
- **governance** _(critical)_
  - Evidence: Systems were not robust enough to demonstrate effective monitoring of the quality of the service. This was a breach of Regulation 17 (Good Governance).
  - Published: 2024-01-24
- **care_planning** _(moderate)_
  - Evidence: Risk assessments did not always include detailed information about specific risks. One person used a wheelchair, however there was no information about the use of their harness.
  - Published: 2024-01-24
- **medication_management** _(critical)_
  - Evidence: Not all staff were trained in oxygen therapy. One person's administration for oxygen therapy was not correct.
  - Published: 2024-01-24
- **medication_management** _(critical)_
  - Evidence: Two people were given medication with food or fluids however, there was no covert administration documentation in place. A pharmacist had not been consulted.
  - Published: 2024-01-24

## 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/1-121773576

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