# United Response - York Leeds Harrogate DCA

*Operated by United Response.*

United Response - York Leeds Harrogate DCA is a CQC-regulated home-care agency in York.

## CQC Ratings

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

Rating published: 26/07/2017

## Practical info

- Postcode: YO26 5NA
- Registered manager: Harrison, Dawn
- Local authority: York
- Region: Yorkshire & Humberside
- City: York
- Last CQC check: 26/Jul/2017 - 00:00

## Inspection findings

### caring

- Finding
  - End of life care planning
  - Published: 2021-10-30
- Finding
  - Involvement of people and families in care planning
  - Published: 2021-10-30
- Finding
  - Person-centred care and dignity
  - Published: 2021-10-30

### effective

- Finding
  - Nutrition and health support
  - Published: 2021-10-30
- Finding
  - Accuracy and completeness of care records
  - Published: 2021-10-30
- Finding
  - Mental Capacity Act / consent and best interest decisions
  - Published: 2021-10-30
- Finding
  - Supervision and support of staff
  - Published: 2021-10-30
- Finding
  - Staff training and induction
  - Published: 2021-10-30

### Other

- Finding
  - Evidence: Detailed activity and nutrition support tailored to individual preferences and needs.
  - Published: 2021-10-30
- Finding
  - Evidence: Positive staff culture with regular supervision, one-to-ones, and management development programme.
  - Published: 2021-10-30
- Finding
  - Evidence: Complaints policy was comprehensive; all 2015 complaints were substantiated and actioned.
  - Published: 2021-10-30
- Finding
  - Evidence: Strong multi-disciplinary working with local authority, GPs, SALT, and other health professionals.
  - Published: 2021-10-30
- Finding
  - Evidence: Person-centred care planning with people involved in their own reviews and care worker selection.
  - Published: 2021-10-30
- Finding
  - Evidence: Robust recruitment checks including DBS verification before independent working.
  - Published: 2021-10-30
- Finding
  - Evidence: Sufficient staffing levels with good retention; people supported by consistent, familiar care workers.
  - Published: 2021-10-30
- Finding
  - Evidence: Care workers received up-to-date safeguarding training and understood how to report concerns.
  - Published: 2021-10-30
- **incident_learning** _(minor)_
  - Evidence: The recording form provided limited opportunity to learn from these types of incidents and to reduce re-occurrence.
  - Published: 2021-10-30
- **governance** _(moderate)_
  - Evidence: Despite the quality assurance checks in place...management of medicines and care planning were being audited but we had concerns about these areas of practice.
  - Published: 2021-10-30
- **consent_capacity** _(moderate)_
  - Evidence: Best interest assessments...the information was not always completed with enough information to ensure staff understood why the decision had been made.
  - Published: 2021-10-30
- **care_planning** _(moderate)_
  - Evidence: One core assessment was last reviewed in November 2013 and another in September 2014. Information in people's care files was not always up to date or consistent.
  - Published: 2021-10-30
- **record_keeping** _(critical)_
  - Evidence: Accurate and complete records were not maintained to ensure care workers had sufficient information to act in people's best interest. Breach of Regulation 17 (2) (b) (c).
  - Published: 2021-10-30
- **medication_management** _(critical)_
  - Evidence: PRN had been recorded as administered on two occasions but only initialled on one of those occasions with a recording of 'G' for the second occasion.
  - Published: 2021-10-30

### responsive

- Finding
  - Complaints and compliments handling
  - Published: 2021-10-30
- Finding
  - Personalised care plans and activity support
  - Published: 2021-10-30

### safe

- Finding
  - Medication management and administration
  - Published: 2021-10-30
- Finding
  - Staffing levels and recruitment
  - Published: 2021-10-30
- Finding
  - Safeguarding people from abuse and harm
  - Published: 2021-10-30

### well_led

- Finding
  - Record keeping and governance systems
  - Published: 2021-10-30
- Finding
  - Quality assurance and audit effectiveness
  - Published: 2021-10-30
- Finding
  - Leadership and management structure
  - Published: 2021-10-30

## 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/1-123018468

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