# Alters Recruitment Limited t/a Alters Nursing - London

*Operated by Alters Recruitment Limited.*

Alters Recruitment Limited t/a Alters Nursing - London is a CQC-regulated home-care agency in London.

## CQC Ratings

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

Rating published: 11/12/2019

## Practical info

- Postcode: E15 3HX
- Registered manager: Hewitt, Samantha
- Local authority: Newham
- Region: London
- City: London
- Last CQC check: 11/Dec/2019 - 00:00

## Inspection findings

### caring

- Finding
  - Involvement in care planning
  - Published: 2017-03-24
- Finding
  - Dignity and privacy
  - Published: 2017-03-24
- Finding
  - Cultural competency and language support
  - Published: 2017-03-24
- Finding
  - Relationships and consistency of staff
  - Published: 2017-03-24

### Other

- Finding
  - Evidence: 100% of survey respondents indicated they were provided with sufficient and understandable information about the service.
  - Published: 2020-01-29
- Finding
  - Evidence: Electronic monitoring system ensured missed calls were detected and alternative cover arranged promptly.
  - Published: 2020-01-29
- Finding
  - Evidence: Staff demonstrated strong knowledge of safeguarding, whistleblowing, consent, privacy, dignity, and independence promotion.
  - Published: 2020-01-29
- Finding
  - Evidence: Quality assurance systems included home care monitoring visits, annual satisfaction surveys, quarterly staff meetings, and provider audits.
  - Published: 2020-01-29
- Finding
  - Evidence: Complaints were investigated and resolved in a timely manner in line with the complaints policy.
  - Published: 2020-01-29
- Finding
  - Evidence: Care plans were personalised, documenting individual preferences, routines, dietary needs, and communication requirements.
  - Published: 2020-01-29
- Finding
  - Evidence: Staff received regular supervision, annual appraisals, spot checks, and access to a wide range of training including the Care Certificate.
  - Published: 2020-01-29
- Finding
  - Evidence: Safe recruitment procedures included DBS checks, two references, proof of identity, right-to-work checks, and health questionnaires.
  - Published: 2020-01-29
- Finding
  - Evidence: Medicine administration records were properly maintained with MAR sheets, dose details, staff signatures, and documented reasons for non-administration.
  - Published: 2020-01-29
- Finding
  - Evidence: Risk assessments were comprehensive, reviewed regularly, and identified specific mitigation actions for individual risks such as falls and pressure sores.
  - Published: 2020-01-29
- Finding
  - Evidence: Leaders were described as approachable and open, with a positive culture of feedback, staff recognition, and partnership working with other agencies.
  - Published: 2019-12-11
- Finding
  - Evidence: Complaints were handled appropriately and in line with policy; no complaints had been received in the last twelve months.
  - Published: 2019-12-11
- Finding
  - Evidence: People were supported to maintain their health through liaison with GPs, district nurses and occupational therapists, and staff encouraged healthy choices and mobility.
  - Published: 2019-12-11
- Finding
  - Evidence: The provider had robust quality assurance systems including telephone monitoring, spot checks, home care monitoring visits, and regular staff meetings.
  - Published: 2019-12-11
- Finding
  - Evidence: Care plans were detailed and personalised, recording people's likes, dislikes, cultural and religious needs, communication needs, and levels of independence.
  - Published: 2019-12-11
- Finding
  - Evidence: Staff received regular supervision, annual appraisals, induction training including the Care Certificate, and role-relevant training such as dementia and moving and handling.
  - Published: 2019-12-11
- Finding
  - Evidence: Medicines were managed safely with weekly audits of medicine records returned to the office and assessments carried out when people began using the service.
  - Published: 2019-12-11
- Finding
  - Evidence: People and relatives consistently reported feeling safe and well cared for, with staff demonstrating strong knowledge of safeguarding procedures and whistleblowing responsibilities.
  - Published: 2019-12-11

### responsive

- Finding
  - Care plan reviews
  - Published: 2017-03-24
- Finding
  - Complaints handling
  - Published: 2017-03-24
- Finding
  - Record keeping quality
  - Published: 2017-03-24
- Finding
  - Personalised care planning
  - Published: 2017-03-24

### well_led

- Finding
  - Staff meetings and communication
  - Published: 2017-03-24
- Finding
  - Improvement planning
  - Published: 2017-03-24
- Finding
  - Quality assurance and auditing
  - Published: 2017-03-24
- Finding
  - Leadership visibility
  - Published: 2017-03-24

## 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/1-127105530

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