# Compassionate Care Ltd

Compassionate Care Ltd is a CQC-regulated home-care agency in Ashley.

## CQC Ratings

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

Rating published: 2024-02-28

## Practical info

- Postcode: WA15 0RE
- Local authority: Manchester
- Region: North West
- City: Ashley
- Last CQC check: 2024-01-08

## Inspection findings

### Other

- Finding
  - Evidence: Staff received multiple competency assessments and training before administering medication unsupervised.
  - Published: 2024-02-28
- Finding
  - Evidence: A QR code system was implemented allowing staff to raise concerns directly to the quality manager.
  - Published: 2024-02-28
- Finding
  - Evidence: Provider worked proactively in partnership with other professionals to support people safely.
  - Published: 2024-02-28
- Finding
  - Evidence: Staff demonstrated good knowledge of safeguarding and capacity/consent under the MCA.
  - Published: 2024-02-28
- Finding
  - Evidence: Robust quality assurance framework in place, with real-time call monitoring and responsive management.
  - Published: 2024-02-28
- Finding
  - Evidence: Care plans were personalised and contained sufficient detail to support people with identified risks.
  - Published: 2024-02-28
- Finding
  - Evidence: Staffing rotas were amended to ensure sufficient travel time between calls and allow for breaks, with positive staff feedback about the changes.
  - Published: 2024-02-28
- **leadership** _(moderate)_
  - Evidence: At the time of our inspection there was not a registered manager in post.
  - Published: 2024-02-28
- **staff_competency** _(minor)_
  - Evidence: We found 1 example where a person's most recent references had been obtained, however they had also previously worked in health and social care and a reference was not obtained for this employment.
  - Published: 2024-02-28
- **record_keeping** _(minor)_
  - Evidence: We found 1 example where the amount of liquid for thickener was not recorded. This was updated during the inspection.
  - Published: 2024-02-28
- **staffing_levels** _(moderate)_
  - Evidence: Prior to the inspection we had received concerns that there were not enough staff to meet people's needs and that people's care calls were being missed.
  - Published: 2024-02-28
- Finding
  - Evidence: New induction framework for team leaders and reflective practice supervision record introduced since last inspection
  - Published: 2022-07-27
- Finding
  - Evidence: Multiple staff engagement channels including one-to-ones, team meetings and online staff survey
  - Published: 2022-07-27
- Finding
  - Evidence: Regular reviews with people using the service used to shape care plans
  - Published: 2022-07-27
- Finding
  - Evidence: Robust audit and quality assurance systems operating effectively
  - Published: 2022-07-27
- Finding
  - Evidence: Clear and unambiguous staffing structures; staff worked well together
  - Published: 2022-07-27
- Finding
  - Evidence: Open, honest and transparent leadership with a culture of continuous learning
  - Published: 2022-07-27
- Finding
  - Evidence: Complaints managed effectively with a maintained complaints log recording details, management action and outcome
  - Published: 2022-07-27

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-07-27

### well_led

- Finding
  - Continuous learning and improving care
  - Published: 2022-07-27
- Finding
  - Engaging and involving people using the service, the public and staff, fully considering their equality characteristics
  - Published: 2022-07-27
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-07-27

## 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/1-2480712613

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