# Cera - Yorkshire South & West

*Operated by Cera Care Operations Limited.*

Cera - Yorkshire South & West is a CQC-regulated home-care agency in Rotherham.

## CQC Ratings

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

Rating published: 08/09/2018

## Practical info

- Postcode: S60 1RU
- Registered manager: Green, Beverley
- Local authority: Rotherham
- Region: Yorkshire & Humberside
- City: Rotherham
- Last CQC check: 08/Sep/2018 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Regular staff meetings, one-to-one sessions, and annual appraisals supporting staff communication.
  - Published: 2020-01-29
- Finding
  - Evidence: New IT system implemented to monitor staff presence and ensure care visits lasted the intended duration.
  - Published: 2020-01-29
- Finding
  - Evidence: Registered manager knowledgeable about the Mental Capacity Act 2005 and consent requirements.
  - Published: 2020-01-29
- Finding
  - Evidence: Effective complaints handling with written responses and signposting to external remedy.
  - Published: 2020-01-29
- Finding
  - Evidence: Good staff training including a comprehensive five-day induction with practical and knowledge components.
  - Published: 2020-01-29
- Finding
  - Evidence: Highly personalised care plans reflecting individual preferences, opinions, and care needs.
  - Published: 2020-01-29
- Finding
  - Evidence: Robust recruitment processes including comprehensive DBS checks and two written references for all staff.
  - Published: 2020-01-29
- Finding
  - Evidence: Staff were trained in protecting people from harm and appropriate safeguarding systems were in place.
  - Published: 2020-01-29
- **person_centred_care** _(minor)_
  - Evidence: A number of people told us that the provider used to give them a printed rota...but they said that this practice had recently ceased, which they were unhappy about.
  - Published: 2020-01-29
- **incident_learning** _(moderate)_
  - Evidence: When medication issues were reported there was no matter of urgency or anyone contacting us back to see how the patient was or any feedback as to what was happening.
  - Published: 2020-01-29
- **governance** _(moderate)_
  - Evidence: we identified shortfalls within the management of medicines that this increased auditing had failed to identify, indicating that the audit lacked completeness.
  - Published: 2020-01-29
- **record_keeping** _(moderate)_
  - Evidence: Often there was no staff signature to show who had completed this form and at times the form lacked detail. For example, we saw some medicines were recorded to be administered "as directed."
  - Published: 2020-01-29
- **medication_management** _(critical)_
  - Evidence: we noted an incident where a person was accidentally given a double dose of medicines by staff. We raised this with the registered manager, who had not been made aware of this incident.
  - Published: 2020-01-29
- **medication_management** _(critical)_
  - Evidence: there were no records for staff to confirm that they had applied this medication, and there was also a lack of information about where on each person it should be applied.
  - Published: 2020-01-29
- Finding
  - Evidence: Mears Prevention Scheme introduced to proactively monitor seven key health areas at each visit
  - Published: 2020-01-29
- Finding
  - Evidence: Mental Capacity Act compliance evidenced with well-documented best interest decisions
  - Published: 2020-01-29
- Finding
  - Evidence: Staff received regular supervision, appraisal, and spot checks averaging six manager contacts per year
  - Published: 2020-01-29
- Finding
  - Evidence: Effective audit systems identifying shortfalls with robust follow-up action taken
  - Published: 2020-01-29
- Finding
  - Evidence: Complaints handled thoroughly with written responses and evidence of learning and service improvement
  - Published: 2020-01-29
- Finding
  - Evidence: Care plans detailed and person-centred, including life histories, interests, and individual preferences
  - Published: 2020-01-29
- Finding
  - Evidence: People's privacy and dignity upheld, monitored through unannounced spot checks by managers
  - Published: 2020-01-29
- Finding
  - Evidence: Staff received comprehensive mandatory training including safeguarding, infection control, and medicines management
  - Published: 2020-01-29
- Finding
  - Evidence: Risk assessments in place covering personal risks and home environments for all reviewed care plans
  - Published: 2020-01-29
- Finding
  - Evidence: Medicines managed safely with accurate MARs, monthly audits, and spot checks monitoring administration
  - Published: 2020-01-29

## 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/1-2759099469

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