# C&S Makenston Special Care Service

*Operated by Mrs Esther Roselline Anzeze-Makindu.*

C&S Makenston Special Care Service is a CQC-regulated home-care agency in Trowbridge.

## CQC Ratings

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

Rating published: 01/08/2019

## Practical info

- Postcode: BA14 8AR
- Local authority: Wiltshire
- Region: South West
- City: Trowbridge
- Last CQC check: 27/Feb/2024 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2024-03-16
- Finding
  - Ensuring people are well treated and supported; equality and diversity; involvement in decisions
  - Published: 2024-03-16

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2024-03-16
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2024-03-16
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2024-03-16
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2024-03-16
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2024-03-16

### Other

- Finding
  - Evidence: Service worked closely with Wiltshire Council commissioners and quality assurance team to support improvement.
  - Published: 2024-03-16
- Finding
  - Evidence: Regular staff supervision and one-to-one meetings with manager in place.
  - Published: 2024-03-16
- Finding
  - Evidence: Staff supported people to access healthcare appointments and community services, with positive clinical outcomes reported.
  - Published: 2024-03-16
- Finding
  - Evidence: Staff had up-to-date safeguarding training and demonstrated good knowledge of their responsibilities.
  - Published: 2024-03-16
- Finding
  - Evidence: Care plans were person-centred, detailing people's preferences, likes, dislikes, abilities and independence goals.
  - Published: 2024-03-16
- Finding
  - Evidence: Service worked collaboratively with health and social care professionals including the local hospice to deliver end of life care.
  - Published: 2024-03-16
- Finding
  - Evidence: Safe recruitment processes in place including references, identity checks and DBS checks for all staff.
  - Published: 2024-03-16
- Finding
  - Evidence: People and relatives were very positive about the care received; staff described as going 'out of their way to help' and providing consistency of carer.
  - Published: 2024-03-16
- **staff_training** _(moderate)_
  - Evidence: The two senior staff required refresher training in safeguarding and medicines administration. This was last undertaken in 2016 and 2017.
  - Published: 2024-03-16
- **record_keeping** _(minor)_
  - Evidence: The hoist risk assessment did not contain a service date, when this was due or who was responsible for maintenance.
  - Published: 2024-03-16

### responsive

- Finding
  - End of life care and support
  - Published: 2024-03-16
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2024-03-16
- Finding
  - Planning personalised care to meet people's needs, preferences, interests and give them choice and control
  - Published: 2024-03-16

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2024-03-16
- Finding
  - Preventing and controlling infection
  - Published: 2024-03-16
- Finding
  - Using medicines safely
  - Published: 2024-03-16
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2024-03-16
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2024-03-16
- Finding
  - Staffing and recruitment
  - Published: 2024-03-16

### well_led

- Finding
  - Continuous learning and improving care; working in partnership with others
  - Published: 2024-03-16
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2024-03-16
- Finding
  - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements
  - Published: 2024-03-16
- Finding
  - Planning and promoting person-centred, high-quality care; duty of candour
  - Published: 2024-03-16

## 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/1-1763695426

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