# Care with Pride

*Operated by Care With Pride Ltd.*

Care with Pride is a CQC-regulated home-care agency in Luton.

## CQC Ratings

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

Rating published: 03/01/2024

## Practical info

- Postcode: LU1 2SJ
- Registered manager: Nyamandi, Kylie
- Local authority: Luton
- Region: East
- City: Luton
- Last CQC check: 03/Jan/2024 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: The registered manager took immediate remedial action in response to inspection findings.
  - Published: 2024-01-11
- Finding
  - Evidence: Feedback was regularly sought from people and relatives via questionnaires and telephone calls.
  - Published: 2024-01-11
- Finding
  - Evidence: Staff felt supported and listened to by the registered manager, who was described as approachable.
  - Published: 2024-01-11
- Finding
  - Evidence: The registered manager worked in partnership with key agencies including local authority, GPs and district nurses.
  - Published: 2024-01-11
- Finding
  - Evidence: There were enough suitably trained staff to meet people's care and support needs.
  - Published: 2024-01-11
- Finding
  - Evidence: Infection prevention and control policies were being adhered to with individual COVID-19 risk assessments in place.
  - Published: 2024-01-11
- Finding
  - Evidence: People felt safe with the care and support provided and staff received safeguarding training.
  - Published: 2024-01-11
- **other** _(moderate)_
  - Evidence: New staff's full career history along with a written explanation of any gaps hadn't been explored by the registered manager.
  - Published: 2024-01-11
- **incident_learning** _(moderate)_
  - Evidence: A falls risk assessment highlighted that a person had had two falls in one month...the registered manager had failed to record these two incidents.
  - Published: 2024-01-11
- **staff_training** _(minor)_
  - Evidence: There was a lack of oversight in relation to staff training. The initial training matrix received had not been updated to reflect training that had been completed.
  - Published: 2024-01-11
- **care_planning** _(moderate)_
  - Evidence: Known risks for people had not been robustly risk assessed...one person had bed rails attached to their hospital bed, and this required a more in-depth risk assessment.
  - Published: 2024-01-11
- **medication_management** _(moderate)_
  - Evidence: The code recorded on a medicine administration record (MAR) relating to medicine doses not being available was not consistently recorded by staff.
  - Published: 2024-01-11
- **record_keeping** _(moderate)_
  - Evidence: There was a lack of personalisation in care records...spelling errors in both care and audit records and an element of copying and pasting within daily note records.
  - Published: 2024-01-11
- **governance** _(critical)_
  - Evidence: The provider had not operated an effective system to assess, monitor, and improve the quality and safety of the service provided. This is a breach of regulation 17.
  - Published: 2024-01-11

### safe

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2024-01-11
- Finding
  - Learning lessons when things go wrong
  - Published: 2024-01-11
- Finding
  - Preventing and controlling infections
  - Published: 2024-01-11
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2024-01-11
- Finding
  - Using medicines safely
  - Published: 2024-01-11
- Finding
  - Staffing and recruitment
  - Published: 2024-01-11
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2024-01-11

### well_led

- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2024-01-11
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2024-01-11
- Finding
  - Continuous learning and improving care
  - Published: 2024-01-11
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2024-01-11
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2024-01-11

## 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/1-1940300572

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