# Hibiscus Domiciliary Care Agency

*Operated by Hibiscus Housing Association Ltd.*

Hibiscus Domiciliary Care Agency is a CQC-regulated home-care agency in Wolverhampton.

## CQC Ratings

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

Rating published: 18/03/2025

## Practical info

- Postcode: WV3 0DA
- Registered manager: Rawlings, Keith
- Local authority: Wolverhampton
- Region: West Midlands
- City: Wolverhampton
- Last CQC check: 18/Mar/2025 - 00:00

## Inspection findings

### effective

- Finding
  - Supporting people to live healthier lives, access healthcare services and support
  - Published: 2023-08-25
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-08-25
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-08-25
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-08-25
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-08-25

### Other

- Finding
  - Evidence: Staff and management proactively liaised with GPs, district nurses, and community mental health teams.
  - Published: 2023-08-25
- Finding
  - Evidence: People's dietary and health needs, including SALT guidance, documented in care plans.
  - Published: 2023-08-25
- Finding
  - Evidence: Infection control practices followed; staff wore PPE appropriately.
  - Published: 2023-08-25
- Finding
  - Evidence: Recruitment checks including DBS now in place for all staff.
  - Published: 2023-08-25
- Finding
  - Evidence: Professionals praised personalised, culturally sensitive care: 'Hibiscus go above and beyond...They are like people's extended family.'
  - Published: 2023-08-25
- Finding
  - Evidence: Incident review processes now in place with learning shared with staff to reduce reoccurrence.
  - Published: 2023-08-25
- Finding
  - Evidence: Staff received relevant training including moving and handling, safeguarding, MCA, and mental health awareness since last inspection.
  - Published: 2023-08-25
- Finding
  - Evidence: Staff were knowledgeable about people's risks and knew them well; people felt safe with familiar staff.
  - Published: 2023-08-25
- **staff_competency** _(minor)_
  - Evidence: gaps in employment history which the provider had not investigated
  - Published: 2023-08-25
- **leadership** _(moderate)_
  - Evidence: At the time of our inspection there was not a registered manager in post...third consecutive inspection where this key question has been rated either requires improvement or inadequate.
  - Published: 2023-08-25
- **care_planning** _(moderate)_
  - Evidence: 1 person who was not receiving care in line with their assessed need. Records reflected the person was not always being supported safely with their mobility.
  - Published: 2023-08-25
- **record_keeping** _(moderate)_
  - Evidence: information about people's mental capacity to make specific decisions was not always consistent or up to date
  - Published: 2023-08-25
- **medication_management** _(moderate)_
  - Evidence: most recent medicines audit was March 2023...did not reflect that daily administration of medicines had been reviewed
  - Published: 2023-08-25
- **consent_capacity** _(critical)_
  - Evidence: nominated individual and manager were still not clear about their responsibilities to assess people's capacity...relied on local authority social workers
  - Published: 2023-08-25
- **consent_capacity** _(critical)_
  - Evidence: no record of the assessment of the person's capacity to make this decision, or any record of an associated best interests meeting
  - Published: 2023-08-25

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-08-25
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-08-25
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-08-25
- Finding
  - Staffing and recruitment
  - Published: 2023-08-25
- Finding
  - Using medicines safely
  - Published: 2023-08-25
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-08-25

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-08-25
- Finding
  - Engaging and involving people, continuous learning and improving care
  - Published: 2023-08-25
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-08-25
- Finding
  - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements
  - Published: 2023-08-25

## 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/1-165008858

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