# Creative Support - Leicester Service

*Operated by Creative Support Limited.*

Creative Support - Leicester Service is a CQC-regulated home-care agency in Leicester.

## CQC Ratings

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

Rating published: 14/01/2023

## Practical info

- Postcode: LE2 0JN
- Registered manager: Daykin, Christopher
- Local authority: Leicester
- Region: East Midlands
- City: Leicester
- Last CQC check: 14/Jan/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Registered manager demonstrated openness, duty of candour awareness, and responsive leadership.
  - Published: 2023-01-14
- Finding
  - Evidence: Provider held Investors in People silver and gold status, Stonewall Dignify Champion, and Disability Confident Employer accreditations.
  - Published: 2023-01-14
- Finding
  - Evidence: Strong external professional partnerships supporting positive outcomes for people.
  - Published: 2023-01-14
- Finding
  - Evidence: Commitment to STOMP principles in medicines management reviewed by health professionals.
  - Published: 2023-01-14
- Finding
  - Evidence: Positive engagement with people, relatives, and staff through surveys, reviews, and newsletters.
  - Published: 2023-01-14
- Finding
  - Evidence: Robust governance systems including audits, senior manager reviews, and incident theme analysis.
  - Published: 2023-01-14
- Finding
  - Evidence: Safe staff recruitment procedures including DBS checks and targeted recruitment campaigns.
  - Published: 2023-01-14
- Finding
  - Evidence: Effective safeguarding training in place; staff understood how to recognise and report abuse.
  - Published: 2023-01-14
- Finding
  - Evidence: Strong positive culture with staff showing clear commitment to person-centred, high-quality care.
  - Published: 2023-01-14
- Finding
  - Evidence: People received personalised care with independence promoted and goals and aspirations supported.
  - Published: 2023-01-14
- **care_planning** _(minor)_
  - Evidence: There were some inconsistencies in where guidance was recorded in relation to health conditions... it was not always easy to find information.
  - Published: 2023-01-14
- **infection_control** _(minor)_
  - Evidence: We noted a staff member wearing jewellery and another wearing nail varnish. This posed an infection and safety risk.
  - Published: 2023-01-14
- **medication_management** _(moderate)_
  - Evidence: From reviewing incident records, we identified incidents of medicine omissions had occurred due to staff error.
  - Published: 2023-01-14
- **record_keeping** _(moderate)_
  - Evidence: Agency staff profiles were not routinely kept at the individual supported living sites. This was important to enable staff to check agency staff identity when arriving for work.
  - Published: 2023-01-14
- **incident_learning** _(moderate)_
  - Evidence: The injury was not recorded in the person's daily notes or staff handover document. It was therefore not clear how the injuries had occurred.
  - Published: 2023-01-14
- **safeguarding** _(critical)_
  - Evidence: Two body maps dated May 2022 and December 2022 showed the same person had an injury, but this was not recorded in the incident records.
  - Published: 2023-01-14
- **staffing_levels** _(critical)_
  - Evidence: Staffing levels were not consistently sufficient to meet people's individual needs. The commissioned hours provided at 1 supported living site did not meet the dependency needs of the 3 people living at the service.
  - Published: 2023-01-14

## 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/1-1767559063

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