# Community Care Worker Limited Community Care Worker Limited is a CQC-regulated home-care agency in Stoke-on-trent. ## CQC Ratings | Key question | Rating | | --- | --- | | Overall | Requires improvement | | Safe | Requires improvement | | Effective | Requires improvement | | Caring | Good | | Responsive | Good | | Well-led | Requires improvement | Rating published: 23/05/2023 ## Practical info - Postcode: ST9 0DG - Local authority: Staffordshire - Region: West Midlands - City: Stoke-on-trent - Last CQC check: 23/May/2023 - 00:00 ## Inspection findings ### effective - Finding - Supporting people to live healthier lives, access healthcare services and support - Published: 2024-03-16 - Finding - Supporting people to eat and drink enough to maintain a balanced diet - 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 - Finding - Ensuring consent to care and treatment in line with law and guidance - Published: 2024-03-16 - Finding - Staff support: induction, training, skills and experience - Published: 2024-03-16 ### Other - Finding - Evidence: One person noted a regular carer who went 'above and beyond', supporting with walking and ensuring eating and drinking. - Published: 2024-03-16 - Finding - Evidence: Evidence of concerns raised by relatives being acted upon, including spot checks on staff PPE compliance. - Published: 2024-03-16 - Finding - Evidence: The provider worked with other health professionals such as GPs, district nurse teams and social workers to support people's care needs. - Published: 2024-03-16 - Finding - Evidence: When people had regular care staff, they considered the service they received to be good and some staff described as excellent. - Published: 2024-03-16 - **leadership** _(critical)_ - Evidence: Since the provider registered with us in 2015, we have inspected them nine times. On only one inspection have they been rated as good. - Published: 2024-03-16 - **person_centred_care** _(moderate)_ - Evidence: People's protected characteristics, as identified in the Equality Act 2010 were not always outlined in their care plans. This included gender, age, culture, religion, ethnicity and disability. - Published: 2024-03-16 - **communication_with_families** _(moderate)_ - Evidence: Telephone calls made to the provider's Stoke-on-Trent office were diverted to their office in Bangladesh. The registered manager had not informed people or relatives about this. - Published: 2024-03-16 - **incident_learning** _(moderate)_ - Evidence: Despite actions taken in response to incidents we were not assured the provider had learnt lessons... specific and individual actions taken but these did not feed into the wider service to help identify themes. - Published: 2024-03-16 - **supervision_appraisal** _(moderate)_ - Evidence: The area manager acknowledged staff supervision and observation of their practice had not been completed regularly but they were now getting back on track with these. - Published: 2024-03-16 - **infection_control** _(moderate)_ - Evidence: Six of these staff did not change their mask in accordance with the current Government guidance. This placed people at risk of catching infections, such as COVID-19. - Published: 2024-03-16 - **consent_capacity** _(critical)_ - Evidence: One person lacked capacity to consent to their care. Best interest decisions had not been made and the management team did not know whether or not the relative had the lasting power of attorney. - Published: 2024-03-16 - **record_keeping** _(critical)_ - Evidence: Staff who completed the medicine audits had amended administration records, so it showed people had received their medicine. Some of these records were amended over six weeks later. - Published: 2024-03-16 - **governance** _(critical)_ - Evidence: Although audits were completed on people's care and records, they had not identified the concerns and errors we identified. - Published: 2024-03-16 - **care_planning** _(critical)_ - Evidence: Some people had catheters with no plans in place to help staff provide safe catheter care... Some people's care plans did not identify they even had a catheter. - Published: 2024-03-16 - **staff_competency** _(moderate)_ - Evidence: Not all staff who supported people with a learning disability had received appropriate training. The registered manager told us they were currently developing a training session. - Published: 2024-03-16 ### safe - Finding - Learning lessons when things go wrong - Published: 2024-03-16 - Finding - Staffing and recruitment - 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 ### well_led - 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, and understanding quality performance, risks and regulatory requirements - Published: 2024-03-16 - Finding - Promoting a positive culture that is person-centred, open, inclusive and empowering - Published: 2024-03-16 - Finding - Continuous learning and improving care; Working in partnership with others - 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/1-2171888899 HomeCare Compass is an independent guide and is not affiliated with the CQC.