# Excel Care Management Services Ltd

Excel Care Management Services Ltd is a CQC-regulated home-care agency in Leigh.

## CQC Ratings

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

Rating published: 17/06/2025

## Practical info

- Postcode: WN7 4NB
- Registered manager: Rowley, Fiona
- Local authority: Wigan
- Region: North West
- City: Leigh
- Last CQC check: 17/Jun/2025 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: The service was working within the principles of the Mental Capacity Act as needed.
  - Published: 2023-04-12
- Finding
  - Evidence: Systems were in place to involve people, relatives and staff in how the service was run, including satisfaction surveys.
  - Published: 2023-04-12
- Finding
  - Evidence: Staff were recruited safely with pre-employment processes including application forms, interviews and references.
  - Published: 2023-04-12
- Finding
  - Evidence: The service had developed excellent links in the local community including dementia care and charity events.
  - Published: 2023-04-12
- Finding
  - Evidence: The service worked in partnership with several different organisations including health care professionals and local authority.
  - Published: 2023-04-12
- Finding
  - Evidence: Accidents and incidents were monitored closely, with details provided about any lessons learnt to prevent future re-occurrence.
  - Published: 2023-04-12
- Finding
  - Evidence: Staff displayed a good understanding about safeguarding and how to recognise potential concerns.
  - Published: 2023-04-12
- Finding
  - Evidence: People told us they felt safe as a result of the care they received, with positive relationships built between staff and clients.
  - Published: 2023-04-12
- **safeguarding** _(moderate)_
  - Evidence: Risk assessments were not always in place for staff to work whilst they were waiting for their DBS check to be returned.
  - Published: 2023-04-12
- **leadership** _(moderate)_
  - Evidence: There is poor management and leadership. Some managers are unapproachable and there are issues with communication.
  - Published: 2023-04-12
- **record_keeping** _(moderate)_
  - Evidence: Medicine related risk assessments and care plans were not always up to date, therefore we were not assured people received their medicines safely.
  - Published: 2023-04-12
- **infection_control** _(moderate)_
  - Evidence: some people confirmed it was not always worn when delivering care. One person said, 'They do, but not always.' Another person said, 'They don't always wear masks.'
  - Published: 2023-04-12
- **staffing_levels** _(moderate)_
  - Evidence: high sickness levels which impacts visits being on time, especially at weekend when we have less staff available.
  - Published: 2023-04-12
- **supervision_appraisal** _(moderate)_
  - Evidence: I've not had a spot check since the company took us over at the beginning of September. Another member of staff said 'Never had one.'
  - Published: 2023-04-12
- **staff_competency** _(moderate)_
  - Evidence: Never had one, the medicines are always wrong on the app we use and no matter how many times I report it nothing gets done.
  - Published: 2023-04-12
- **governance** _(critical)_
  - Evidence: evidence of audits was not provided despite numerous requests, even after the inspection. Quality audits were not in place.
  - Published: 2023-04-12
- **medication_management** _(critical)_
  - Evidence: some people were prescribed paracetamol. We found the required 4 hour time interval between doses was not always observed. This meant people were at risk of potential overdoses.
  - Published: 2023-04-12

### safe

- Finding
  - Assessing risk, safety monitoring and management; Preventing and controlling infection
  - Published: 2023-04-12
- Finding
  - Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrong
  - Published: 2023-04-12
- Finding
  - Staffing and recruitment
  - Published: 2023-04-12
- Finding
  - Using medicines safely
  - Published: 2023-04-12

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-04-12
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-04-12
- Finding
  - Continuous learning and improving care; Engaging and involving people; Managers and staff being clear about their roles
  - Published: 2023-04-12

## 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/1-152848162

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