Lovage Homecare Ltd

Requires improvementRated 8 Nov 2023Home care · Wolverhampton

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CQC Key Questions

Safe

Requires improvement

People are protected from abuse and avoidable harm.

Effective

Requires improvement

Care achieves good outcomes and quality of life.

Caring

Requires improvement

Staff treat people with compassion, dignity, respect.

Responsive

Requires improvement

Services are tailored to people's needs.

Well-led

Requires improvement

Leadership and culture support quality care.

What inspectors found

30 findings

effective

Note24 Aug 2023
Supporting people to live healthier lives, access healthcare services and support
Note24 Aug 2023
Supporting people to eat and drink enough to maintain a balanced diet
Note24 Aug 2023
Staff support: induction, training, skills and experience
Note24 Aug 2023
Ensuring consent to care and treatment in line with law and guidance (MCA)

Other

Note24 Aug 2023
Service worked with other agencies; health needs monitored and referrals made when needed.
Note24 Aug 2023
Duty of candour requirements understood and met.
Note24 Aug 2023
People were happy with care received and felt safe with staff.
Note24 Aug 2023
Infection control procedures followed; staff had access to PPE.
Note24 Aug 2023
Safeguarding training delivered; staff able to recognise abuse and knew reporting routes.
Note24 Aug 2023
Safe recruitment processes established with DBS checks completed for all staff.
Note24 Aug 2023
Medicine administration records (MAR) now in place and staff received medicines training and competency checks.
Note24 Aug 2023
All staff received mandatory and role-relevant training including diabetes, and a structured documented induction was introduced.
Note24 Aug 2023
Sufficient staff available to support people; relatives and people confirmed consistent carer allocation.
minorrecord_keeping24 Aug 2023
Risk assessments and care plans were now in place when needed... Some of these lacked detail however the registered manager was aware of this and working to improve these.
moderatestaff_competency24 Aug 2023
Although staff had received training since the last inspection, there was a lack of understanding around the Act and from the registered manager and provider around their responsibilities.
moderatemedication_management24 Aug 2023
Staff were not currently signing the MAR, they were putting an 'x' to show administration. The medicines audit had not identified where staff were not signing the MAR.
criticalgovernance24 Aug 2023
Quality checks and audits were inconsistently completed in the service. There were no audits in place to identify that people's care was not being delivered in line with MCA.
criticalconsent_capacity24 Aug 2023
There were no individual capacity assessments or best interest decisions in place for this person. This placed this person at risk of not receiving care and treatment they had consented to or in their…

safe

Note24 Aug 2023
Preventing and controlling infection
Note24 Aug 2023
Learning lessons when things go wrong
Note24 Aug 2023
Systems and processes to safeguard people from the risk of abuse
Note24 Aug 2023
Staffing and recruitment
Note24 Aug 2023
Medicines management; Assessing risk, safety monitoring and management

well_led

Note24 Aug 2023
Working in partnership with others
Note24 Aug 2023
How the provider understands and acts on the duty of candour
Note24 Aug 2023
Promoting a positive person-centred, open, inclusive and empowering culture
Note24 Aug 2023
Engaging and involving people using the service, the public and staff
Note24 Aug 2023
Managers and staff being clear about their roles; quality performance, risks and regulatory requirements
Note2 Jun 2023
Continuous learning and improving care; Working in partnership with others