# Prime Care Associates

Prime Care Associates is a CQC-regulated home-care agency in Salisbury.

## CQC Ratings

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

Rating published: 16/03/2022

## Practical info

- Postcode: SP4 6AT
- Registered manager: Riley, Paul
- Local authority: Wiltshire
- Region: South West
- City: Salisbury
- Last CQC check: 16/Mar/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Complaints handling system in place; people knew how to raise concerns
  - Published: 2022-03-16
- Finding
  - Evidence: Good working relationships with external health professionals such as GPs, community nurses and occupational therapists
  - Published: 2022-03-16
- Finding
  - Evidence: Safeguarding systems in place; staff trained and knew how to report concerns
  - Published: 2022-03-16
- Finding
  - Evidence: Stable staff team with good knowledge of people they supported
  - Published: 2022-03-16
- Finding
  - Evidence: Effective infection control and PPE compliance during COVID-19 pandemic
  - Published: 2022-03-16
- Finding
  - Evidence: People felt safe with staff and reported reliable, trustworthy support
  - Published: 2022-03-16
- Finding
  - Evidence: Sufficient staffing levels maintained; no new care packages accepted to avoid overstretching staff
  - Published: 2022-03-16
- **other** _(critical)_
  - Evidence: Lack of guidance for staff to manage risks safely was identified at the last three inspections in July 2019, May 2018 and February 2017.
  - Published: 2022-03-16
- **record_keeping** _(moderate)_
  - Evidence: One staff member had written they had identified a sore area of skin. Staff in subsequent visits did not mention the soreness but it was raised again a few days later.
  - Published: 2022-03-16
- **governance** _(critical)_
  - Evidence: Auditing systems were not always effective in identifying shortfalls and ensuring safety. This placed people at risk of harm. Breach of regulation 17.
  - Published: 2022-03-16
- **missed_or_late_visits** _(moderate)_
  - Evidence: One person who had a 30 minute allocation, but their visit was recorded as '17.00 – 17.16'. Two relatives told us shortened visits was a regular occurrence.
  - Published: 2022-03-16
- **person_centred_care** _(moderate)_
  - Evidence: Daily records were task orientated and not person centred. Staff had written entries such as, 'Showered, dried and dressed'.
  - Published: 2022-03-16
- **care_planning** _(moderate)_
  - Evidence: Care planning information did not always reflect people's individual needs. One person had a catheter but there was no guidance for staff regarding its management.
  - Published: 2022-03-16
- **medication_management** _(critical)_
  - Evidence: Some showed handwritten changes to the medicine's prescription, without explanation or the staff member's signature. One person was prescribed paracetamol, but staff had not documented the time they had given it.
  - Published: 2022-03-16

### responsive

- Finding
  - End of life care and support
  - Published: 2022-03-16
- Finding
  - Meeting people's communication needs
  - Published: 2022-03-16
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-03-16
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2022-03-16

### safe

- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-03-16
- Finding
  - Preventing and controlling infection
  - Published: 2022-03-16
- Finding
  - Staffing and recruitment
  - Published: 2022-03-16
- Finding
  - Using medicines safely
  - Published: 2022-03-16
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-03-16

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-03-16
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-03-16
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-03-16
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-03-16
- Finding
  - Seeking and acting on feedback
  - Published: 2021-10-30
- Finding
  - Leadership and culture
  - Published: 2021-10-30
- Finding
  - Quality assurance and auditing
  - Published: 2021-10-30

## 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/1-2647913697

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