# AA-I-Care - 35 Southwell

*Operated by Mrs Pauline Ann Daniels.*

AA-I-Care - 35 Southwell is a CQC-regulated home-care agency in Portland.

## CQC Ratings

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

Rating published: 11/11/2025

## Practical info

- Postcode: DT5 2DP
- Local authority: Dorset
- Region: South West
- City: Portland
- Last CQC check: 11/Nov/2025 - 00:00

## Inspection findings

### effective

- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-07-19
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2023-07-19
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-07-19
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-07-19
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-07-19

### Other

- Finding
  - Evidence: Owner/provider was responsive to all issues raised during inspection and committed to the service.
  - Published: 2023-09-21
- Finding
  - Evidence: Staffing and recruitment improvements sufficient to meet Regulation 19 — unexplained employment gaps explored and documented, and risk assessments carried out for staff with missing references.
  - Published: 2023-09-21
- Finding
  - Evidence: People who received 'as and when required' medication had protocols in place to guide staff.
  - Published: 2023-09-21
- Finding
  - Evidence: MAR now provided to staff by the office with information to ensure people did not exceed maximum doses.
  - Published: 2023-09-21
- Finding
  - Evidence: Improved oversight of medicines including auditing of prescriber's directions and timely addressing of discrepancies.
  - Published: 2023-09-21
- Finding
  - Evidence: Substantial improvements made in risk assessments and related care plans, including documentation of previously unrecorded health-related risk management plans.
  - Published: 2023-09-21
- **care_planning** _(minor)_
  - Evidence: The review and update of 1 person's risk assessment had not identified it continued to reflect out of date guidance about visitors to their home.
  - Published: 2023-09-21
- **medication_management** _(moderate)_
  - Evidence: One person took their medicines with food and this was not referenced in their care plan. This meant staff did not have access to approved information about how to do this safely.
  - Published: 2023-09-21
- **staff_competency** _(critical)_
  - Evidence: 4 of these staff had not been directly observed giving medicines as part of their recorded competency assessment. An additional member of staff had not had any competency assessments carried out and was lone working.
  - Published: 2023-09-21
- Finding
  - Evidence: There were enough staff to meet people's needs and ensure adequate breaks.
  - Published: 2023-07-19
- Finding
  - Evidence: People's dietary needs were well known and risks around nutrition and swallowing were identified.
  - Published: 2023-07-19
- Finding
  - Evidence: Staff understood the importance of referrals to health and social care professionals and acted on these.
  - Published: 2023-07-19
- Finding
  - Evidence: Effective partnership working with external professionals leading to good outcomes for people.
  - Published: 2023-07-19

### safe

- Finding
  - Staffing and recruitment
  - Published: 2023-09-21
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-09-21
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-09-21
- Finding
  - Using medicines safely
  - Published: 2023-09-21
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-07-19
- Finding
  - Preventing and controlling infection
  - Published: 2023-07-19
- Finding
  - Staffing and recruitment
  - Published: 2023-07-19
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2023-07-19
- Finding
  - Using medicines safely
  - Published: 2023-07-19

### well_led

- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-07-19
- Finding
  - Engaging and involving people using the service, the public and staff; Continuous learning and improving care
  - Published: 2023-07-19
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements
  - Published: 2023-07-19

## 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/1-137363385

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