# Graceful Care

*Operated by Graceful Care Ltd.*

Graceful Care 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: 15/04/2020

## Practical info

- Postcode: W5 5SL
- Registered manager: Guled, Farhia
- Local authority: Ealing
- Region: London
- City: London
- Last CQC check: 15/Apr/2020 - 00:00

## Inspection findings

### caring

- Finding
  - Privacy, dignity and involvement in care
  - Published: 2020-01-29
- Finding
  - Kindness, compassion and relationship quality
  - Published: 2020-01-29

### effective

- Finding
  - Nutritional and healthcare needs assessment
  - Published: 2020-01-29
- Finding
  - Staff training, supervision and appraisal
  - Published: 2020-01-29
- Finding
  - Mental Capacity Act compliance and consent
  - Published: 2020-01-29

### Other

- Finding
  - Evidence: The provider worked effectively in partnership with health and social care professionals including dieticians, community nurses and social services.
  - Published: 2020-04-15
- Finding
  - Evidence: Care plans included detailed communication needs guidance and Accessible Information Standard compliance.
  - Published: 2020-04-15
- Finding
  - Evidence: Comprehensive audits and quality assurance systems including spot checks, MAR audits, and colour-coded training renewal monitoring were in place.
  - Published: 2020-04-15
- Finding
  - Evidence: The registered manager was described as hands-on, available and responsive by people, relatives and staff.
  - Published: 2020-04-15
- Finding
  - Evidence: An in-house trainer was employed since the last inspection, reducing complaints and improving staff competency.
  - Published: 2020-04-15
- Finding
  - Evidence: Staff provided consistent, person-centred care, with rotas ensuring continuity and people matched with carers who spoke their language.
  - Published: 2020-04-15
- Finding
  - Evidence: Safeguarding systems and processes were robust, with up-to-date staff training and appropriate referrals to local authority and CQC.
  - Published: 2020-04-15
- **care_planning** _(minor)_
  - Evidence: Protected characteristics under the Equalities Act 2010 were identified and recorded in people's care plans...the quality of the information varied from detailed information to, '[Person] had no cultural or religious needs.'
  - Published: 2020-04-15
- **end_of_life_care** _(minor)_
  - Evidence: The provider did not have any records of people's end of life wishes. This meant people's wishes and preferences for care at the end of their lives were not always known.
  - Published: 2020-04-15
- **consent_capacity** _(moderate)_
  - Evidence: The provider had not assessed the person's mental capacity or recorded they still considered the ongoing care plan was in the person's best interests.
  - Published: 2020-04-15
- **medication_management** _(minor)_
  - Evidence: Medicines were generally managed safely but annual medicines competency testing was not in place.
  - Published: 2020-04-15
- Finding
  - Evidence: Regular spot checks and quarterly telephone monitoring of people using the service and their families.
  - Published: 2020-01-29
- Finding
  - Evidence: Care workers undertook comprehensive mandatory training including safeguarding, dementia, end of life care and medicines administration.
  - Published: 2020-01-29
- Finding
  - Evidence: Person-centred support including cultural and language matching of care workers to people using the service.
  - Published: 2020-01-29

### responsive

- Finding
  - Cultural competency and language matching
  - Published: 2020-01-29
- Finding
  - Complaints handling
  - Published: 2020-01-29
- Finding
  - Care planning and review
  - Published: 2020-01-29

### safe

- Finding
  - Medicines training and policy
  - Published: 2020-01-29
- Finding
  - Staffing levels and continuity
  - Published: 2020-01-29
- Finding
  - Safe recruitment procedures
  - Published: 2020-01-29
- Finding
  - Individual risk assessment and risk management
  - Published: 2020-01-29
- Finding
  - Safeguarding procedures and incident investigation
  - Published: 2020-01-29

### well_led

- Finding
  - MCA understanding at leadership level
  - Published: 2020-01-29
- Finding
  - Leadership accessibility and staff support
  - Published: 2020-01-29
- Finding
  - Quality monitoring and governance systems
  - Published: 2020-01-29

## 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/1-1368045908

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