# Outreach Sefton Ltd

*Operated by Outreach (Sefton) Limited.*

Outreach Sefton Ltd is a CQC-regulated home-care agency in Southport.

## CQC Ratings

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

Rating published: 30/12/2023

## Practical info

- Postcode: PR9 7LN
- Registered manager: Nelson, Kara
- Local authority: Sefton
- Region: North West
- City: Southport
- Last CQC check: 30/Dec/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Systems were in place to protect people from risk of abuse and infection control.
  - Published: 2024-01-16
- Finding
  - Evidence: Communication needs of people were assessed and reflected in care plans.
  - Published: 2024-01-16
- Finding
  - Evidence: Effective partnership working with other agencies and professionals to achieve good outcomes.
  - Published: 2024-01-16
- Finding
  - Evidence: Staff felt supported, received necessary training, and spoke positively about working for the provider.
  - Published: 2024-01-16
- Finding
  - Evidence: Risk assessments and care plans were developed to minimise risk to people's health and wellbeing.
  - Published: 2024-01-16
- Finding
  - Evidence: Recruitment procedures were safe with pre-employment checks carried out on all staff.
  - Published: 2024-01-16
- Finding
  - Evidence: Consistent care staff attended, with people given prior notice of who would visit.
  - Published: 2024-01-16
- Finding
  - Evidence: People received person-centred care reflecting their needs, preferences, social and cultural interests.
  - Published: 2024-01-16
- **governance** _(moderate)_
  - Evidence: In recent months there had been some temporary management changes. During this period not all records had been submitted to CQC in a timely manner.
  - Published: 2024-01-16
- **governance** _(critical)_
  - Evidence: Systems had failed to identify the shortfalls regarding call visits and medicines.
  - Published: 2024-01-16
- **missed_or_late_visits** _(critical)_
  - Evidence: There were no systems to alert the management team if a call was missed, running late or was shorter than the person's plan of care set out.
  - Published: 2024-01-16
- **record_keeping** _(moderate)_
  - Evidence: Staff were not recording this correctly and there were numerous gaps on the person's MAR which suggested staff had not offered them all their prescribed medicines.
  - Published: 2024-01-16
- **medication_management** _(critical)_
  - Evidence: Changes in people's medicines care needs were not always updated on the medication administration records (MAR) in a timely manner.
  - Published: 2024-01-16

### responsive

- Finding
  - End of life care and support
  - Published: 2024-01-16
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2024-01-16
- Finding
  - Meeting people's communication needs
  - Published: 2024-01-16
- Finding
  - Planning personalised care; Supporting relationships; socially and culturally relevant activities
  - Published: 2024-01-16

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2024-01-16
- Finding
  - Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrong
  - Published: 2024-01-16
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2024-01-16
- Finding
  - Using medicines safely
  - Published: 2024-01-16
- Finding
  - Staffing and recruitment
  - Published: 2024-01-16

### well_led

- Finding
  - Working in partnership with others
  - Published: 2024-01-16
- Finding
  - Promoting a positive, person-centred culture; Engaging people and staff
  - Published: 2024-01-16
- Finding
  - Managers and staff being clear about roles; Continuous learning; Duty of candour
  - Published: 2024-01-16

## 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/1-123445500

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