# Filey Care and Support LTD

*Operated by Filey Care and Support Ltd.*

Filey Care and Support LTD is a CQC-regulated home-care agency in Enfield.

## CQC Ratings

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

Rating published: 07/12/2022

## Practical info

- Postcode: EN2 6NF
- Registered manager: Ezeoke, Elochukwu Stanislaus
- Local authority: Enfield
- Region: London
- City: Enfield
- Last CQC check: 07/Dec/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: The registered managers were responsive to concerns raised during the inspection and provided a service improvement plan.
  - Published: 2022-12-30
- Finding
  - Evidence: Management were visible, approachable, and led by example promoting equality and diversity.
  - Published: 2022-12-30
- Finding
  - Evidence: The registered managers were aware of STOMP and supported regular medicines reviews, with examples of reduced doses.
  - Published: 2022-12-30
- Finding
  - Evidence: Effective infection prevention and control measures were in place with appropriate PPE and training.
  - Published: 2022-12-30
- Finding
  - Evidence: The service promoted equality and diversity and provided culturally appropriate care.
  - Published: 2022-12-30
- Finding
  - Evidence: People were supported by a consistent staff team familiar to them, helping to reduce anxiety.
  - Published: 2022-12-30
- Finding
  - Evidence: The service worked in partnership with health and social care professionals including speech and language therapists, GPs, psychiatrists and district nurses.
  - Published: 2022-12-30
- Finding
  - Evidence: The service worked within the principles of the Mental Capacity Act 2005, promoting people's choices and least restrictive practices.
  - Published: 2022-12-30
- Finding
  - Evidence: Staff received regular supervisions and appraisals and felt supported by management.
  - Published: 2022-12-30
- Finding
  - Evidence: Staff received a comprehensive induction including mandatory training, the Care Certificate, and regular training in learning disability and autism.
  - Published: 2022-12-30
- Finding
  - Evidence: People with complex needs had comprehensive support plans analysing behaviour and providing positive behaviour support.
  - Published: 2022-12-30
- Finding
  - Evidence: Staff understood how to protect people from poor care and abuse, were trained in safeguarding and knew how to identify and report abuse.
  - Published: 2022-12-30
- **record_keeping** _(moderate)_
  - Evidence: Four staff members had unreliable references. The service failed to demonstrate the sources of these references...original emails from referees...had been deleted due to administrative issues.
  - Published: 2022-12-30
- **supervision_appraisal** _(moderate)_
  - Evidence: there was no formal supervision taking place for the managers and supervisors to ensure they clearly understood their responsibilities.
  - Published: 2022-12-30
- **governance** _(critical)_
  - Evidence: Management audits and spot checks...did not identify the issues we found with the management of medicines, assessing people's risks and staff recruitment.
  - Published: 2022-12-30
- **staffing_levels** _(critical)_
  - Evidence: Four staff members had started their employment without appropriate DBS checks. Their DBS checks were performed several months after their start date.
  - Published: 2022-12-30
- **medication_management** _(critical)_
  - Evidence: several cases where the actual number of remaining tablets did not correspond with what staff had recorded, and instances where the number of remaining tablets had been pre-recorded
  - Published: 2022-12-30
- **medication_management** _(critical)_
  - Evidence: Where people received 'when required' (PRN) medicines there were no protocols to explain to staff when to administer these medicines.
  - Published: 2022-12-30
- **care_planning** _(critical)_
  - Evidence: two people who had diabetes did not have plan in place to ensure their condition was safely managed. Risks associated with people's finances, medicines, eating and drinking...were not always thoroughly assessed.
  - Published: 2022-12-30

## 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/1-2452188241

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