# Universal Care and Support Services Ltd

Universal Care and Support Services Ltd is a CQC-regulated home-care agency in Coventry.

## CQC Ratings

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

Rating published: 21/12/2023

## Practical info

- Postcode: CV1 4PB
- Registered manager: Githugu, Alice
- Local authority: Coventry
- Region: West Midlands
- City: Coventry
- Last CQC check: 21/Dec/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2023-12-21
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity; privacy, dignity and independence
  - Published: 2023-12-21

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-12-21
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier lives
  - Published: 2023-12-21
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-12-21
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-12-21
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-12-21

### Other

- Finding
  - Evidence: The provider had a contingency plan to maintain safe service delivery in adverse conditions.
  - Published: 2023-12-21
- Finding
  - Evidence: Positive, open and supportive culture with staff reporting high morale and approachable management.
  - Published: 2023-12-21
- Finding
  - Evidence: Accessible information was provided in appropriate formats including large print and different languages.
  - Published: 2023-12-21
- Finding
  - Evidence: The registered manager conducted quality audits, spot checks, and maintained good managerial oversight.
  - Published: 2023-12-21
- Finding
  - Evidence: Care plans were personalised, reflecting people's preferences, religious and cultural beliefs.
  - Published: 2023-12-21
- Finding
  - Evidence: People were supported to have maximum choice and control in line with Mental Capacity Act principles.
  - Published: 2023-12-21
- Finding
  - Evidence: Staff received induction, ongoing training, and competency assessments including for medicines administration.
  - Published: 2023-12-21
- Finding
  - Evidence: Risks were assessed and regularly reviewed; incidents were recorded and lessons learnt shared in team meetings.
  - Published: 2023-12-21
- Finding
  - Evidence: Staff were recruited safely with references and DBS checks completed before starting work.
  - Published: 2023-12-21
- Finding
  - Evidence: People and relatives felt safe with staff and spoke very positively about the care received.
  - Published: 2023-12-21
- **care_planning** _(minor)_
  - Evidence: we did identify a care plan which lacked detailed guidance to inform staff how to provide catheter care.
  - Published: 2023-12-21

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-12-21
- Finding
  - Meeting people's communication needs
  - Published: 2023-12-21
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2023-12-21

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-12-21
- Finding
  - Using medicines safely
  - Published: 2023-12-21
- Finding
  - Staffing and recruitment
  - Published: 2023-12-21
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2023-12-21
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-12-21

### well_led

- Finding
  - Working in partnership with others; How the provider understands and acts on the duty of candour
  - Published: 2023-12-21
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-12-21
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2023-12-21

## 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/1-13935315662

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