# Lovage Homecare Ltd

Lovage Homecare Ltd is a CQC-regulated home-care agency in Wolverhampton.

## CQC Ratings

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

Rating published: 11/08/2023

## Practical info

- Postcode: WV3 0SR
- Local authority: Wolverhampton
- Region: West Midlands
- City: Wolverhampton
- Last CQC check: 11/Aug/2023 - 00:00

## Inspection findings

### effective

- Finding
  - Supporting people to live healthier lives, access healthcare services and support
  - Published: 2023-08-24
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-08-24
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-08-24
- Finding
  - Ensuring consent to care and treatment in line with law and guidance (MCA)
  - Published: 2023-08-24

### Other

- Finding
  - Evidence: Service worked with other agencies; health needs monitored and referrals made when needed.
  - Published: 2023-08-24
- Finding
  - Evidence: Duty of candour requirements understood and met.
  - Published: 2023-08-24
- Finding
  - Evidence: People were happy with care received and felt safe with staff.
  - Published: 2023-08-24
- Finding
  - Evidence: Infection control procedures followed; staff had access to PPE.
  - Published: 2023-08-24
- Finding
  - Evidence: Safeguarding training delivered; staff able to recognise abuse and knew reporting routes.
  - Published: 2023-08-24
- Finding
  - Evidence: Safe recruitment processes established with DBS checks completed for all staff.
  - Published: 2023-08-24
- Finding
  - Evidence: Medicine administration records (MAR) now in place and staff received medicines training and competency checks.
  - Published: 2023-08-24
- Finding
  - Evidence: All staff received mandatory and role-relevant training including diabetes, and a structured documented induction was introduced.
  - Published: 2023-08-24
- Finding
  - Evidence: Sufficient staff available to support people; relatives and people confirmed consistent carer allocation.
  - Published: 2023-08-24
- **record_keeping** _(minor)_
  - Evidence: 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.
  - Published: 2023-08-24
- **staff_competency** _(moderate)_
  - Evidence: 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.
  - Published: 2023-08-24
- **medication_management** _(moderate)_
  - Evidence: 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.
  - Published: 2023-08-24
- **governance** _(critical)_
  - Evidence: 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.
  - Published: 2023-08-24
- **consent_capacity** _(critical)_
  - Evidence: 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 best interest.
  - Published: 2023-08-24

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-08-24
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-08-24
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-08-24
- Finding
  - Staffing and recruitment
  - Published: 2023-08-24
- Finding
  - Medicines management; Assessing risk, safety monitoring and management
  - Published: 2023-08-24

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-08-24
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-08-24
- Finding
  - Promoting a positive person-centred, open, inclusive and empowering culture
  - Published: 2023-08-24
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-08-24
- Finding
  - Managers and staff being clear about their roles; quality performance, risks and regulatory requirements
  - Published: 2023-08-24
- Finding
  - Continuous learning and improving care; Working in partnership with others
  - Published: 2023-06-02
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-06-02

## 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/1-12903720590

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