# Number 12 Chapeltown Enterprise Centre

*Operated by Care Signature Christian Homecare Services.*

Number 12 Chapeltown Enterprise Centre is a CQC-regulated home-care agency in Leeds.

## CQC Ratings

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

Rating published: 02/12/2023

## Practical info

- Postcode: LS7 3DX
- Registered manager: Gadi, Rachel
- Local authority: Leeds
- Region: Yorkshire & Humberside
- City: Leeds
- Last CQC check: 02/Dec/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Provider demonstrated learning culture with use of technology and audit systems to drive improvement.
  - Published: 2023-12-14
- Finding
  - Evidence: Strong infection prevention and control practices with no concerns reported.
  - Published: 2023-12-14
- Finding
  - Evidence: Regular people satisfaction surveys conducted; complaints and compliments reviewed weekly.
  - Published: 2023-12-14
- Finding
  - Evidence: Provider worked in partnership with external stakeholders including local authority commissioners and care managers.
  - Published: 2023-12-14
- Finding
  - Evidence: Positive open culture with approachable management; staff felt supported.
  - Published: 2023-12-14
- Finding
  - Evidence: Effective safeguarding systems and policies in place; staff confident in raising concerns.
  - Published: 2023-12-14
- Finding
  - Evidence: Care plans were detailed, person-centred, and captured people's individual history; monthly audits were conducted.
  - Published: 2023-12-14
- Finding
  - Evidence: People felt safe and reported kind, compassionate care from staff who respected their privacy and dignity.
  - Published: 2023-12-14
- **missed_or_late_visits** _(minor)_
  - Evidence: People told us staff were sometimes late to their visits. When this happened staff kept people informed.
  - Published: 2023-12-14
- **staff_training** _(minor)_
  - Evidence: The provider kept a comprehensive record of where training had been completed, however we found some staff refresher training was overdue.
  - Published: 2023-12-14
- **staff_competency** _(minor)_
  - Evidence: managers carried out competency checks for medication administration and manual handling regularly, however we found not all records were available to view.
  - Published: 2023-12-14
- **consent_capacity** _(moderate)_
  - Evidence: Staff carried out mental capacity assessments for all people using the service...The assessments were not decision specific.
  - Published: 2023-12-14
- **record_keeping** _(moderate)_
  - Evidence: Pre-employment checks did not always include explanation of gaps in employment. The provider did not submit evidence of completed staff file audits.
  - Published: 2023-12-14
- **medication_management** _(minor)_
  - Evidence: the provider did not have protocols in place that described when 'when required' medications should be administered.
  - Published: 2023-12-14

## 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/1-2784094218

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