Operated by Enham Trust

Enham Trust - Care & Support at Home

Requires improvementRated 11 Dec 2022Home care · Andover

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CQC Key Questions

Safe

Requires improvement

People are protected from abuse and avoidable harm.

Effective

Good

Care achieves good outcomes and quality of life.

Caring

Good

Staff treat people with compassion, dignity, respect.

Responsive

Good

Services are tailored to people's needs.

Well-led

Requires improvement

Leadership and culture support quality care.

What inspectors found

22 findings

Other

Note15 Nov 2022
Open and transparent culture; previous inspection report displayed on website
Note15 Nov 2022
Provider worked in partnership with external organisations including local authority and clinical commissioning group
Note15 Nov 2022
Provider had arrangements to obtain feedback from people and relatives; June 2022 survey showed general satisfaction
Note15 Nov 2022
Infection control managed well; staff had access to and used appropriate PPE
Note15 Nov 2022
Staff were knowledgeable about safeguarding responsibilities and able to describe types of abuse and reporting routes
Note15 Nov 2022
Medicines managed safely with accurate MAR records and effective governance systems identifying errors
Note15 Nov 2022
Safe recruitment processes in place; staff files met all Schedule 3 requirements including DBS checks
minorperson_centred_care15 Nov 2022
"They have to use a lot of agency workers that means I keep having to explain my care every shift"
moderategovernance15 Nov 2022
Actions plans were in place which highlighted that various policies and procedures required updating to reflect best practice. Additional time was required to fully embed the planned improvements.
minorcare_planning15 Nov 2022
Further development with some care plans was required to ensure best practice was consistently applied. The registered manager acknowledged this and was in the process of making the required changes.
moderatemissed_or_late_visits15 Nov 2022
"A few late calls. If the carer is 15 minutes late there is an on-call number" and "I was waiting for my lunch call...They told me the person hadn't come to work"
moderatestaffing_levels15 Nov 2022
"Staffing levels are a major problem as there's only two full time carers and the other three have limited availability so the two full-time carers end up having to pick up extra hours"

safe

Note15 Nov 2022
Preventing and controlling infection
Note15 Nov 2022
Using medicines safely
Note15 Nov 2022
Assessing risk, safety monitoring and management
Note15 Nov 2022
Systems and processes to safeguard people from the risk of abuse
Note15 Nov 2022
Staffing and recruitment

well_led

Note15 Nov 2022
Working in partnership with others
Note15 Nov 2022
Continuous learning and improving care
Note15 Nov 2022
Planning and promoting person-centred, high-quality care and support with openness
Note15 Nov 2022
Engaging and involving people using the service, the public and staff
Note15 Nov 2022
Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements