# Revelation Social Care Ltd

Revelation Social Care Ltd is a CQC-regulated home-care agency in Bury.

## CQC Ratings

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

Rating published: 30/09/2024

## Practical info

- Postcode: BL9 9HN
- Registered manager: Mukombe, Francisca
- Local authority: Bury
- Region: North West
- City: Bury
- Last CQC check: 30/Sep/2024 - 00:00

## Inspection findings

### effective

- Finding
  - Staff working with other agencies; supporting people to access healthcare
  - Published: 2023-06-13
- Finding
  - Supporting people to eat and drink enough
  - Published: 2023-06-13
- Finding
  - Assessing people's needs and choices; consent and MCA compliance
  - Published: 2023-06-13
- Finding
  - Staff support: induction, training, skills, and experience
  - Published: 2023-06-13

### Other

- Finding
  - Evidence: Feedback from health and social care professionals was positive about the responsiveness and person-centred approach of the service.
  - Published: 2023-06-13
- Finding
  - Evidence: Nutritional and hydration needs were assessed and planned for; the service joined the Greater Manchester Nutrition and Hydration programme.
  - Published: 2023-06-13
- Finding
  - Evidence: The service worked in partnership with healthcare professionals and was responsive to people's healthcare needs.
  - Published: 2023-06-13
- Finding
  - Evidence: The registered manager liaised with the local authority safeguarding team where issues and concerns had been raised.
  - Published: 2023-06-13
- Finding
  - Evidence: Suitable infection control arrangements were in place; staff had access to PPE and training in infection control.
  - Published: 2023-06-13
- Finding
  - Evidence: People and relatives gave very positive feedback about care staff, with comments such as 'I can't praise them enough' and 'Couldn't ask for a better team.'
  - Published: 2023-06-13
- **supervision_appraisal** _(moderate)_
  - Evidence: Self assessments and observed competency assessments had been completed with some staff. Where additional learning had been identified there was no evidence this had been acted upon.
  - Published: 2023-06-13
- **care_planning** _(critical)_
  - Evidence: Specific areas of concern, such as behaviours that challenge and self-harm had not been thoroughly assessed and planned to provide clear guidance for staff.
  - Published: 2023-06-13
- **consent_capacity** _(critical)_
  - Evidence: Where people were said to lack capacity to make their own decisions, an MCA assessment had not been completed. Information was not sufficiently detailed where decisions had been made in their 'best interest'.
  - Published: 2023-06-13
- **record_keeping** _(moderate)_
  - Evidence: Both electronic and paper records were inaccurate and incomplete.
  - Published: 2023-06-13
- **governance** _(critical)_
  - Evidence: The service did not have systems in place to monitor and review the service provided. The office environment was disorganised and did not provide an effective working environment.
  - Published: 2023-06-13
- **staff_competency** _(critical)_
  - Evidence: Medication competency assessments were completed for staff as part of the induction programme. Records seen showed assessments of staff had been carried out with people who did not receive support with the medicines.
  - Published: 2023-06-13
- **staff_training** _(moderate)_
  - Evidence: Training records showed a number of staff had completed multiple courses in 1 day. This did not demonstrate training was appropriately planned to promoted staff learning.
  - Published: 2023-06-13
- **staffing_levels** _(moderate)_
  - Evidence: Some staff were rostered to work an excessive number of hours with appropriate breaks.
  - Published: 2023-06-13
- **medication_management** _(critical)_
  - Evidence: one person required topical cream applied twice daily, records showed this was applied 4 times each day. Records did not provide any direction for staff on where creams were to be applied.
  - Published: 2023-06-13

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-06-13
- Finding
  - Systems and processes to safeguard people; Learning lessons when things go wrong
  - Published: 2023-06-13
- Finding
  - Using medicines safely
  - Published: 2023-06-13
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-06-13
- Finding
  - Staffing and recruitment
  - Published: 2023-06-13

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-06-13
- Finding
  - Promoting a positive, person-centred culture; engaging people and staff
  - Published: 2023-06-13
- Finding
  - Duty of candour
  - Published: 2023-06-13
- Finding
  - Managers and staff being clear about roles; understanding quality, performance and risks
  - Published: 2023-06-13
- Finding
  - Continuous learning and improving care
  - Published: 2023-06-13

## 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/1-2182361582

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