# Admiral Care Limited

*Operated by Admiral Care Ltd.*

Admiral Care Limited is a CQC-regulated home-care agency in Portsmouth.

## CQC Ratings

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

Rating published: 06/06/2023

## Practical info

- Postcode: PO6 3DX
- Registered manager: Wyatt, Donna
- Local authority: Portsmouth
- Region: South East
- City: Portsmouth
- Last CQC check: 06/Jun/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: The registered manager took prompt remedial action on several issues identified during the inspection.
  - Published: 2023-06-22
- Finding
  - Evidence: Recruitment checks were carried out to help prevent employment of unsuitable staff.
  - Published: 2023-06-22
- Finding
  - Evidence: Staff understood infection control responsibilities and PPE was available and used.
  - Published: 2023-06-22
- Finding
  - Evidence: The service worked effectively with community health and social care professionals to support positive outcomes.
  - Published: 2023-06-22
- Finding
  - Evidence: Competency assessments were carried out with staff to check knowledge and skills for medicines support.
  - Published: 2023-06-22
- Finding
  - Evidence: Staff demonstrated good knowledge of risks to people and how they were managed.
  - Published: 2023-06-22
- Finding
  - Evidence: Management staff provided care cover when short-staffed, ensuring people did not experience missed or shortened calls.
  - Published: 2023-06-22
- Finding
  - Evidence: People and relatives spoke highly of the quality of care and described staff as caring, knowledgeable and professional.
  - Published: 2023-06-22
- **complaints_handling** _(minor)_
  - Evidence: 7 people fed back to the service they were not aware of the complaints or compliments procedure, but no actions to remedy this had been identified.
  - Published: 2023-06-22
- **care_planning** _(moderate)_
  - Evidence: Information about the level of support people required was not clear for example, whether care staff administered people's medicines or provided a prompt only.
  - Published: 2023-06-22
- **consent_capacity** _(moderate)_
  - Evidence: The provider's process for decision making in people's best interests was not followed in their care records... records needed to be correctly completed to show principles of the MCA were followed.
  - Published: 2023-06-22
- **incident_learning** _(critical)_
  - Evidence: 2 allegations of abuse and 1 incident reported to the police had not been notified to CQC as required.
  - Published: 2023-06-22
- **governance** _(critical)_
  - Evidence: This system had failed to identify some of the concerns we found on inspection... medication management, out of date policies, application of the MCA, reporting safeguarding concerns.
  - Published: 2023-06-22
- **safeguarding** _(critical)_
  - Evidence: Not all safeguarding concerns were shared promptly with the local authority safeguarding team... The registered manager had failed to notify CQC of allegations of abuse.
  - Published: 2023-06-22
- **record_keeping** _(critical)_
  - Evidence: Information in people's care plans about risks and safety was not always comprehensive or up to date. This included information about skin injuries, prevention and treatment, catheter care.
  - Published: 2023-06-22
- **medication_management** _(critical)_
  - Evidence: Guidance to support the use of medicines prescribed 'as required' (PRN) such as pain relief was not available in people's care plans.
  - Published: 2023-06-22

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-06-22
- Finding
  - Staffing and recruitment
  - Published: 2023-06-22
- Finding
  - Preventing and controlling infection
  - Published: 2023-06-22
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-06-22
- Finding
  - Using medicines safely
  - Published: 2023-06-22
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-06-22

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-06-22
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-06-22
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-06-22
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-06-22
- Finding
  - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements
  - Published: 2023-06-22
- Finding
  - Staff communication and engagement
  - Published: 2021-10-30
- Finding
  - Leadership and improvement management
  - Published: 2021-10-30
- Finding
  - Governance and quality assurance
  - Published: 2021-10-30

## 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/1-144245420

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