# Hannah's Homecare Ltd

Hannah's Homecare Ltd is a CQC-regulated home-care agency in Warrington.

## CQC Ratings

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

Rating published: 10/06/2023

## Practical info

- Postcode: WA2 7JQ
- Registered manager: Chingombe, Margaret
- Local authority: Warrington
- Region: North West
- City: Warrington
- Last CQC check: 10/Jun/2023 - 00:00

## Inspection findings

### effective

- Finding
  - Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier lives
  - Published: 2023-12-05
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-12-05
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-12-05
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-12-05
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-12-05

### Other

- Finding
  - Evidence: Registered manager understood duty of candour and notified CQC of required events.
  - Published: 2023-12-05
- Finding
  - Evidence: Systems in place to gather feedback via surveys and a complaints procedure; no complaints reported at time of inspection.
  - Published: 2023-12-05
- Finding
  - Evidence: Positive culture reported by people, relatives and staff; feedback consistently praised compassion and reliability.
  - Published: 2023-12-05
- Finding
  - Evidence: Referrals made promptly to other health and social care professionals when concerns arose.
  - Published: 2023-12-05
- Finding
  - Evidence: Staff received regular induction, training, supervision and appraisal; training matrix maintained for oversight.
  - Published: 2023-12-05
- Finding
  - Evidence: Safe infection prevention and control procedures in place; staff used appropriate PPE consistently.
  - Published: 2023-12-05
- Finding
  - Evidence: Staff completed safeguarding training and were clear about reporting responsibilities.
  - Published: 2023-12-05
- Finding
  - Evidence: People and relatives reported feeling safe; staff arrived on time and provided continuity of care with familiar carers.
  - Published: 2023-12-05
- Finding
  - Evidence: Sufficient numbers of safely recruited staff available to meet people's needs with relevant DBS checks completed.
  - Published: 2023-12-05
- **record_keeping** _(minor)_
  - Evidence: The current rating for the service was not displayed on the provider's website as required.
  - Published: 2023-12-05
- **governance** _(minor)_
  - Evidence: The minutes from meetings held in October 2022 and February 2023 were identical, raising question regarding their effectiveness.
  - Published: 2023-12-05
- **governance** _(moderate)_
  - Evidence: Audits were completed but did not highlight all of the issues we raised during the inspection, such as the recording of people's consent, risk management and medicines.
  - Published: 2023-12-05
- **consent_capacity** _(moderate)_
  - Evidence: One person's consent was signed by a family member, but there was no evidence the family member had legal authority to consent on their behalf.
  - Published: 2023-12-05
- **consent_capacity** _(moderate)_
  - Evidence: mental capacity assessments were not decision specific and did not include a best interest decision as required by the MCA.
  - Published: 2023-12-05
- **record_keeping** _(moderate)_
  - Evidence: medication records showed directions of medicines had been crossed out and changed with no explanation as to who authorised this or why.
  - Published: 2023-12-05
- **medication_management** _(moderate)_
  - Evidence: Medication records showed the stock balance of medicines was not recorded to enable accurate auditing of administration.
  - Published: 2023-12-05
- **medication_management** _(critical)_
  - Evidence: one person received their paracetamol before the required four-hour gap between doses. This put the person at unnecessary risk of overdosing.
  - Published: 2023-12-05

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-12-05
- Finding
  - Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrong
  - Published: 2023-12-05
- Finding
  - Staffing and recruitment
  - Published: 2023-12-05
- Finding
  - Assessing risk, safety monitoring and management; Using medicines safely
  - Published: 2023-12-05

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff; Working in partnership with others
  - Published: 2023-12-05
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-12-05
- Finding
  - How the provider understands and acts on the duty of candour; Managers and staff being clear about their roles
  - Published: 2023-12-05
- Finding
  - Continuous learning and improving care
  - Published: 2023-12-05

## 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/1-1744636916

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