# NDH Care Ltd

NDH Care Ltd is a CQC-regulated home-care agency in Birmingham.

## CQC Ratings

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

Rating published: 10/08/2023

## Practical info

- Postcode: B12 0NL
- Registered manager: Patel, Hardikkumar
- Local authority: Birmingham
- Region: West Midlands
- City: Birmingham
- Last CQC check: 10/Aug/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: The provider notified CQC of incidents as required.
  - Published: 2023-08-10
- Finding
  - Evidence: The provider demonstrated duty of candour by investigating concerns and informing the local authority.
  - Published: 2023-08-10
- Finding
  - Evidence: Infection control practices were improved following concerns, including PPE use, COVID-19 testing systems, and office hygiene measures.
  - Published: 2023-08-10
- Finding
  - Evidence: Staff reported having sufficient time to provide care safely and felt supported by management.
  - Published: 2023-08-10
- Finding
  - Evidence: People received support from a consistent team of staff who mostly arrived on time.
  - Published: 2023-08-10
- Finding
  - Evidence: Staff had been recruited safely, including DBS checks and references from previous employers.
  - Published: 2023-08-10
- Finding
  - Evidence: Staff understood their responsibilities to report concerns of abuse and safeguarding.
  - Published: 2023-08-10
- **person_centred_care** _(moderate)_
  - Evidence: They don't have a problem with apologising but they don't seem to learn from their mistakes... this was not acted upon.
  - Published: 2023-08-10
- **record_keeping** _(critical)_
  - Evidence: Medicine records failed to include all of the necessary information to ensure staff supported people with medicines in a safe way.
  - Published: 2023-08-10
- **incident_learning** _(moderate)_
  - Evidence: The information lacked relevant detail and did not evidence that the provider reviewed incidents to identify any trends or patterns to reduce the risk in future.
  - Published: 2023-08-10
- **governance** _(critical)_
  - Evidence: The provider's quality assurance systems were ineffective in identifying areas for improvement... audits were completed, these were not used as a tool to continuously learn and improve care.
  - Published: 2023-08-10
- **safeguarding** _(critical)_
  - Evidence: The provider had not identified possible concerns around neglect... deterioration had not been identified by the provider and so no action could be taken to safeguard the person.
  - Published: 2023-08-10
- **care_planning** _(critical)_
  - Evidence: Although the provider had identified risks in relation to pressure areas and continence care, there lacked any guidance for staff on how to support people with their risks.
  - Published: 2023-08-10
- **medication_management** _(critical)_
  - Evidence: MAR did not record the name of medicines to be given, the dosage needed or route of administration. People's allergies had also not been recorded on MARs.
  - Published: 2023-08-10

### safe

- Finding
  - Staffing and recruitment
  - Published: 2023-08-10
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-08-10
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-08-10
- Finding
  - Assessing risk, safety monitoring and management; Using medicines safely
  - Published: 2023-08-10
- Finding
  - Preventing and controlling infection
  - Published: 2023-08-10

### well_led

- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-08-10
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-08-10
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-08-10
- Finding
  - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2023-08-10

## 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/1-2054699466

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