# Transform

*Operated by Transform Supported Accommodation Limited.*

Transform 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 | Requires improvement |

Rating published: 23/12/2022

## Practical info

- Postcode: SE18 1SL
- Registered manager: Patel, Hanilben Samirkumar
- Local authority: Greenwich
- Region: London
- City: London
- Last CQC check: 23/Dec/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Appropriate pre-employment checks were completed for all staff before commencement.
  - Published: 2023-01-07
- Finding
  - Evidence: Staff supported people with equality and diversity, including sexuality and sexual orientation, without discrimination.
  - Published: 2023-01-07
- Finding
  - Evidence: People were empowered to be part of their local community and pursue aspirations such as college and voluntary work.
  - Published: 2023-01-07
- Finding
  - Evidence: The service worked in partnership with health and social care professionals including GPs, social workers and local authorities.
  - Published: 2023-01-07
- Finding
  - Evidence: Risks were identified, assessed, and had management plans covering a wide range of individual and health risks.
  - Published: 2023-01-07
- Finding
  - Evidence: People were protected from abuse; safeguarding policies were in place and staff were trained in their responsibilities.
  - Published: 2023-01-07
- Finding
  - Evidence: Medicines were managed safely with appropriate MAR records, locked storage, temperature monitoring, and competency-assessed staff.
  - Published: 2023-01-07
- Finding
  - Evidence: Staff focused on people's strengths and promoted independence, supporting people to pursue interests and achieve aspirations.
  - Published: 2023-01-07
- **leadership** _(moderate)_
  - Evidence: At the time of our inspection there was not a registered manager in post. The previous manager resigned from their post in January 2022.
  - Published: 2023-01-07
- **incident_learning** _(minor)_
  - Evidence: Accident and incident records did not always include enough detail to demonstrate the lessons learnt. The manager told us that lessons were learnt... however, these actions were not always recorded.
  - Published: 2023-01-07
- **record_keeping** _(moderate)_
  - Evidence: Accident and incident records did not always include enough detail to demonstrate the lessons learnt. Staff interview notes were not maintained to evidence the selection process.
  - Published: 2023-01-07
- **infection_control** _(moderate)_
  - Evidence: People told us the cleanliness could be better and that they had greasy kitchen floors, bed bugs and mice in their home.
  - Published: 2023-01-07
- **complaints_handling** _(moderate)_
  - Evidence: One person said, 'When we complain, they tell us 28 days for response, and we don't hear back again'. A complaint log we reviewed did not include detailed information.
  - Published: 2023-01-07
- **person_centred_care** _(moderate)_
  - Evidence: People's views were gathered, but these were not always analysed and used to improve on the quality of the service.
  - Published: 2023-01-07
- **governance** _(critical)_
  - Evidence: Appropriate records were not always maintained, up to date and complete. This was a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
  - Published: 2023-01-07

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-01-07
- Finding
  - Using medicines safely
  - Published: 2023-01-07
- Finding
  - Staffing and recruitment
  - Published: 2023-01-07
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-01-07
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-01-07
- Finding
  - Preventing and controlling infection
  - Published: 2023-01-07

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-01-07
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-01-07
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-01-07
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-01-07
- Finding
  - Engaging and involving people using the service, the public and staff; Continuous learning and improving care
  - Published: 2023-01-07

## 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/1-13775130357

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