# Elmar Home Care Limited

Elmar Home Care Limited is a CQC-regulated home-care agency in Keighley.

## CQC Ratings

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

Rating published: 16/05/2019

## Practical info

- Postcode: BD21 4QB
- Registered manager: Charlton, Jade
- Local authority: Bradford
- Region: Yorkshire & Humberside
- City: Keighley
- Last CQC check: 16/May/2019 - 00:00

## Inspection findings

### caring

- Finding
  - Involvement in care decisions
  - Published: 2021-10-30
- Finding
  - Kindness and respect from staff
  - Published: 2021-10-30

### effective

- Finding
  - Nutrition and healthcare support
  - Published: 2021-10-30
- Finding
  - Mental Capacity Act understanding
  - Published: 2021-10-30
- Finding
  - Supervision and appraisal
  - Published: 2021-10-30
- Finding
  - Staff training and induction
  - Published: 2021-10-30

### Other

- Finding
  - Evidence: General risk assessments in relation to people's homes were in place covering safety and moving and handling.
  - Published: 2021-10-30
- Finding
  - Evidence: Care files and associated records were stored securely at the office base with systems in place to dispose of confidential information.
  - Published: 2021-10-30
- Finding
  - Evidence: Staff demonstrated knowledge of emergency procedures, including when to call ambulances and how to respond if unable to gain access to a person's home.
  - Published: 2021-10-30
- Finding
  - Evidence: Effective systems were in place to ensure people's nutritional and healthcare needs were met, with staff responding appropriately to changing needs.
  - Published: 2021-10-30
- Finding
  - Evidence: People and relatives spoke positively about care staff who were described as 'fantastic' and a 'nice group of people', praising their kindness and caring attitude.
  - Published: 2021-10-30
- **communication_with_families** _(critical)_
  - Evidence: next of kin had not been informed by the agency of the fall or that the person had been admitted to hospital.
  - Published: 2021-10-30
- **person_centred_care** _(minor)_
  - Evidence: lack of information about people's lives, preferences or interests in the care records we reviewed. Only one of the people we spoke with said they had been involved in reviews of their care plan.
  - Published: 2021-10-30
- **staffing_levels** _(moderate)_
  - Evidence: Insufficient care staff were being deployed to ensure people's needs were met in a timely way.
  - Published: 2021-10-30
- **incident_learning** _(critical)_
  - Evidence: person had fallen while staff had been present, the person had sustained a head injury and been admitted to hospital. There was no accident report for this incident.
  - Published: 2021-10-30
- **consent_capacity** _(moderate)_
  - Evidence: registered manager confirmed they had received training in the Mental Capacity Act 2005...they told us none of the staff had completed Mental Capacity Act Training.
  - Published: 2021-10-30
- **record_keeping** _(moderate)_
  - Evidence: registered manager told us they met with staff every Friday...but there were no minutes of their discussions.
  - Published: 2021-10-30
- **care_planning** _(moderate)_
  - Evidence: People's care records did not always fully reflect their needs... there was no evidence of this support being delivered.
  - Published: 2021-10-30
- **complaints_handling** _(moderate)_
  - Evidence: complaints raised were not always dealt with appropriately or resolved. This was a breach of the Regulation 16 of the Health and Social Care Act 2008.
  - Published: 2021-10-30
- **governance** _(critical)_
  - Evidence: lack of strong leadership, ineffective quality assurance systems, weak communication and poor record keeping meant issues we found at this inspection had not been identified or resolved.
  - Published: 2021-10-30

### responsive

- Finding
  - Complaints handling
  - Published: 2021-10-30
- Finding
  - Care planning
  - Published: 2021-10-30

### safe

- Finding
  - Risk assessment
  - Published: 2021-10-30
- Finding
  - Staffing levels and deployment
  - Published: 2021-10-30
- Finding
  - Safeguarding
  - Published: 2021-10-30
- Finding
  - Staff recruitment
  - Published: 2021-10-30
- Finding
  - Medicines management
  - Published: 2021-10-30

### well_led

- Finding
  - Leadership
  - Published: 2021-10-30
- Finding
  - Record keeping
  - Published: 2021-10-30
- Finding
  - Quality assurance and governance
  - 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/1-123935405

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