# Caremark (Cheshire North East)

*Operated by Mars Cheshire Limited.*

Caremark (Cheshire North East) is a CQC-regulated home-care agency in Handforth.

## CQC Ratings

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

Rating published: 30/01/2024

## Practical info

- Postcode: SK9 3HQ
- Registered manager: Goodhall, Victoria
- Local authority: Cheshire East
- Region: North West
- City: Handforth
- Last CQC check: 30/Jan/2024 - 00:00

## Inspection findings

### effective

- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2024-02-21
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2024-02-21
- Finding
  - Assessing people's needs and choices; delivering care in line with standards
  - Published: 2024-02-21
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2024-02-21

### Other

- Finding
  - Evidence: People's needs assessed and care delivered in a person-centred, flexible way
  - Published: 2024-02-21
- Finding
  - Evidence: Safe infection prevention and control practices with adequate PPE supplies
  - Published: 2024-02-21
- Finding
  - Evidence: Provider had created a development plan and implemented new electronic management systems
  - Published: 2024-02-21
- Finding
  - Evidence: Staff worked well with other agencies including district nurses and social workers
  - Published: 2024-02-21
- Finding
  - Evidence: Positive and open culture with approachable, responsive management
  - Published: 2024-02-21
- Finding
  - Evidence: Sufficient numbers of suitably trained staff recruited safely with consistent carer allocation
  - Published: 2024-02-21
- Finding
  - Evidence: People felt safe and were positive about care; one person said 'I can't fault the care'
  - Published: 2024-02-21
- **staff_training** _(minor)_
  - Evidence: Some staff had completed the Care Certificate and further work was being undertaken to ensure all staff had completed this.
  - Published: 2024-02-21
- **supervision_appraisal** _(minor)_
  - Evidence: Systems relating to the oversight of the service had not yet been fully developed and implemented, for example in relation to the oversight of staff supervisions.
  - Published: 2024-02-21
- **incident_learning** _(moderate)_
  - Evidence: 3 recent issues, identified during the inspection were submitted retrospectively, this had been an oversight by the provider.
  - Published: 2024-02-21
- **leadership** _(moderate)_
  - Evidence: There was no registered manager at the service. Since the last registered manager had left, the director had managed the service.
  - Published: 2024-02-21
- **consent_capacity** _(moderate)_
  - Evidence: A decision to hide medicines away to keep a person safe had been made, however, records were not robust enough to demonstrate relevant assessments had been undertaken.
  - Published: 2024-02-21
- **medication_management** _(moderate)_
  - Evidence: A new electronic system relating to medicines administration had been implemented. However, this needed amending to fully meet the needs of the service.
  - Published: 2024-02-21
- **record_keeping** _(moderate)_
  - Evidence: Records were not always sufficiently robust. This related to aspects of risk management, medicines records and to demonstrate full compliance with the MCA.
  - Published: 2024-02-21
- **governance** _(critical)_
  - Evidence: Systems and processes to assess, monitor and improve the quality and safety of the service were not always effective. This was a breach of regulation 17
  - Published: 2024-02-21

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2024-02-21
- Finding
  - Preventing and controlling infection
  - Published: 2024-02-21
- Finding
  - Staffing and recruitment
  - Published: 2024-02-21
- Finding
  - Systems and processes to safeguard people from the risk of abuse and avoidable harm
  - Published: 2024-02-21
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2024-02-21
- Finding
  - Using medicines safely
  - Published: 2024-02-21

### well_led

- Finding
  - Working in partnership with others
  - Published: 2024-02-21
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2024-02-21
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2024-02-21
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2024-02-21
- Finding
  - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements
  - Published: 2024-02-21

## 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/1-140415999

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