# Body&Soul Assistance, Admin.

*Operated by Body & Soul Assistance Limited.*

Body&Soul Assistance, Admin. is a CQC-regulated home-care agency in Ilkley.

## CQC Ratings

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

Rating published: 08/03/2024

## Practical info

- Postcode: LS29 0NZ
- Registered manager: Roberts, Penelope
- Local authority: Bradford
- Region: Yorkshire & Humberside
- City: Ilkley
- Last CQC check: 08/Mar/2024 - 00:00

## Inspection findings

### caring

- Finding
  - Confidentiality of records
  - Published: 2017-09-07
- Finding
  - Person-centred support and independence
  - Published: 2017-09-07
- Finding
  - Dignity and respect
  - Published: 2017-09-07

### effective

- Finding
  - Nutrition and health care support
  - Published: 2017-09-07
- Finding
  - Supervision and appraisal
  - Published: 2017-09-07
- Finding
  - Staff training
  - Published: 2017-09-07
- Finding
  - Mental Capacity Act compliance
  - Published: 2017-09-07

### Other

- Finding
  - Evidence: The provider understood their responsibilities under the duty of candour.
  - Published: 2024-03-08
- Finding
  - Evidence: The provider worked in partnership with health care professionals to ensure person-centred care.
  - Published: 2024-03-08
- Finding
  - Evidence: The person in receipt of services told us they received person-centred care, meeting all their needs, with a positive and open culture.
  - Published: 2024-03-08
- Finding
  - Evidence: The provider was working in line with the Mental Capacity Act; the person was offered choices and supported to make everyday decisions.
  - Published: 2024-03-08
- Finding
  - Evidence: Staff were following safe infection prevention and control practices.
  - Published: 2024-03-08
- Finding
  - Evidence: People were supported to receive their medicines safely, with spot checks ensuring staff competency in medication administration.
  - Published: 2024-03-08
- Finding
  - Evidence: The person in receipt of services told us they felt safe, staff kept them safe and there were sufficient staff to meet all their needs.
  - Published: 2024-03-08
- **incident_learning** _(moderate)_
  - Evidence: The provider had not consistently created a learning culture at the service which meant people's care did not always improve. However, there were no recording systems to support this.
  - Published: 2024-03-08
- **staffing_levels** _(critical)_
  - Evidence: Recruitment processes were not robust to ensure staff were suitable to work. This was a breach of regulation 19 of the Health and Social Care Act 2008.
  - Published: 2024-03-08
- **leadership** _(critical)_
  - Evidence: The provider did not have an effective management structure. The provider did not monitor the quality of care provided in order to drive improvements.
  - Published: 2024-03-08
- **safeguarding** _(moderate)_
  - Evidence: not all staff had received safeguarding training in line with best practice guidance and some were unclear on their safeguarding responsibilities.
  - Published: 2024-03-08
- **staff_training** _(moderate)_
  - Evidence: not all staff had received safeguarding training in line with best practice guidance and some were unclear on their safeguarding responsibilities.
  - Published: 2024-03-08
- **care_planning** _(critical)_
  - Evidence: The care plan we reviewed was basic and there was no evidence this had been reviewed or updated. Staff told us they did not have access to written care plans or risk assessments.
  - Published: 2024-03-08
- **record_keeping** _(critical)_
  - Evidence: We found widespread lack in record keeping that should be in place to make sure people's care was appropriate.
  - Published: 2024-03-08
- **governance** _(critical)_
  - Evidence: there was no evidence that audits for any part of the service had taken place, including actions to ensure staff were safely recruited.
  - Published: 2024-03-08

### responsive

- Finding
  - Complaints handling
  - Published: 2017-09-07
- Finding
  - Individualised care planning
  - Published: 2017-09-07

### safe

- Finding
  - Recruitment procedures
  - Published: 2017-09-07
- Finding
  - Staffing levels
  - Published: 2017-09-07
- Finding
  - Risk assessments
  - Published: 2017-09-07

### well_led

- Finding
  - Staff meetings and spot checks
  - Published: 2017-09-07
- Finding
  - Leadership and staff support
  - Published: 2017-09-07
- Finding
  - Governance and audit processes
  - Published: 2017-09-07

## 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/1-2383823340

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