# Laura Care Agency Limited

Laura Care Agency Limited is a CQC-regulated home-care agency in Birmingham.

## CQC Ratings

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

Rating published: 12/02/2019

## Practical info

- Postcode: B18 6HF
- Registered manager: Ricketts, Elizabeth
- Local authority: Birmingham
- Region: West Midlands
- City: Birmingham
- Last CQC check: 12/Feb/2019 - 00:00

## Inspection findings

### caring

- Finding
  - Involvement in care planning
  - Published: 2020-01-29
- Finding
  - Dignity, respect and independence
  - Published: 2020-01-29

### effective

- Finding
  - Nutrition and healthcare access
  - Published: 2020-01-29
- Finding
  - Mental Capacity Act compliance and consent
  - Published: 2020-01-29
- Finding
  - Staff training, induction and supervision
  - Published: 2020-01-29

### Other

- Finding
  - Evidence: Risk assessments were carried out before commencing care, and the manager refused to start care where safe equipment was not in place.
  - Published: 2021-01-23
- Finding
  - Evidence: The service proactively contacted healthcare professionals when changes in a person's health were identified.
  - Published: 2021-01-23
- Finding
  - Evidence: Staff felt supported in their role and there was an open culture around raising concerns.
  - Published: 2021-01-23
- Finding
  - Evidence: The service was responsive to changing needs, with weekly informal and monthly formal reviews.
  - Published: 2021-01-23
- Finding
  - Evidence: People could choose and change the times of their care visits, including specifying the gender of their carer.
  - Published: 2021-01-23
- Finding
  - Evidence: People and relatives were highly complimentary of staff's caring attitude, with comments such as 'The level of care is exemplary.'
  - Published: 2021-01-23
- Finding
  - Evidence: Consistent staffing enabled staff to know people well and recognise changes in their condition.
  - Published: 2021-01-23
- Finding
  - Evidence: People felt safe and relatives confirmed their family members received safe care.
  - Published: 2021-01-23
- **record_keeping** _(minor)_
  - Evidence: Gaps and omissions in the recruitment practice or processes had not been identified through the quality monitoring system checks.
  - Published: 2021-01-23
- **safeguarding** _(critical)_
  - Evidence: we found that we had not received one notification of a safeguarding concern that had been raised and investigated.
  - Published: 2021-01-23
- **governance** _(moderate)_
  - Evidence: monitoring systems in place they were not robust and in some instances not been undertaken as frequently as planned.
  - Published: 2021-01-23
- **care_planning** _(moderate)_
  - Evidence: when there was a change in a person's care needs these were not always clearly reflected in people's care plans and we found that some people's care plans did not contain up to date information.
  - Published: 2021-01-23
- **consent_capacity** _(moderate)_
  - Evidence: where people had been identified as lacking capacity there were no assessments available that detailed what decisions the person was unable to make.
  - Published: 2021-01-23
- **staff_competency** _(moderate)_
  - Evidence: The registered manager had no systems or processes in place to ensure that following receipt of training that staff had been assessed as competent.
  - Published: 2021-01-23
- **staff_training** _(moderate)_
  - Evidence: Staff had not received training on MCA...training had not been provided in good dementia practice...staff did not have access to information about some healthcare conditions such as diabetes.
  - Published: 2021-01-23
- **record_keeping** _(moderate)_
  - Evidence: these medication records had not been audited as had been planned. This meant that there was a risk that medicines were not been given as prescribed.
  - Published: 2021-01-23
- **medication_management** _(critical)_
  - Evidence: The two records we viewed from two months prior to the inspection did not provide confirmation that people had always received their medicines and creams as prescribed.
  - Published: 2021-01-23

### responsive

- Finding
  - Complaints handling
  - Published: 2020-01-29
- Finding
  - Person-centred care and individual preferences
  - Published: 2020-01-29

### safe

- Finding
  - Safeguarding knowledge and whistle-blowing
  - Published: 2020-01-29
- Finding
  - Staffing levels and safe recruitment
  - Published: 2020-01-29
- Finding
  - Risk assessments and care planning for safety
  - Published: 2020-01-29
- Finding
  - Medicines administration and recording
  - Published: 2020-01-29

### well_led

- Finding
  - Leadership, culture and staff support
  - Published: 2020-01-29
- Finding
  - Quality monitoring and audit systems
  - Published: 2020-01-29

## 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/1-1914275047

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