# Compassionate Herts Ltd

Compassionate Herts Ltd is a CQC-regulated home-care agency in Hemel Hempstead.

## 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: HP2 7DX
- Registered manager: Bojaj, Kaltrina
- Local authority: Hertfordshire
- Region: East
- City: Hemel Hempstead
- Last CQC check: 02/Dec/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Relationships with care workers
  - Published: 2020-01-29
- Finding
  - Promotion of independence
  - Published: 2020-01-29
- Finding
  - Dignity and respect
  - Published: 2020-01-29
- Finding
  - Kindness and compassion
  - Published: 2020-01-29

### effective

- Finding
  - Access to healthcare
  - Published: 2020-01-29

### Other

- Finding
  - Evidence: Well-led rating improved from Requires Improvement at last inspection to Good at this inspection.
  - Published: 2023-12-02
- Finding
  - Evidence: Positive partnership working with local authorities, GPs, district nurses, and Hertfordshire Care Providers Association.
  - Published: 2023-12-02
- Finding
  - Evidence: Person-centred care plans co-produced with people; carers matched to people from similar ethnic and cultural backgrounds where possible.
  - Published: 2023-12-02
- Finding
  - Evidence: Registered manager established robust quality assurance including spot checks, audits, telephone and face-to-face visits, and surveys.
  - Published: 2023-12-02
- Finding
  - Evidence: Medicines administered at prescribed times by trained staff with competency checks; MAR records reviewed monthly with no errors recorded.
  - Published: 2023-12-02
- Finding
  - Evidence: Safe recruitment processes in place including DBS checks, two validated references, and exploration of employment history gaps.
  - Published: 2023-12-02
- Finding
  - Evidence: Staff completed safeguarding training with annual refreshers and knowledge checks; safeguarding was a regular staff meeting agenda item.
  - Published: 2023-12-02

### responsive

- Finding
  - Complaints handling
  - Published: 2020-01-29
- Finding
  - Flexibility of service
  - Published: 2020-01-29
- Finding
  - Personalised care planning
  - Published: 2020-01-29

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-12-02
- Finding
  - Using medicines safely
  - Published: 2023-12-02
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-12-02
- Finding
  - Staffing and recruitment
  - Published: 2023-12-02
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-12-02
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-12-02

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-12-02
- Finding
  - Continuous learning and improving care
  - Published: 2023-12-02
- Finding
  - Engaging and involving people using the service, the public and staff, fully considering their equality characteristics
  - Published: 2023-12-02
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-12-02
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-12-02
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-12-02
- Finding
  - Leadership culture and transparency
  - Published: 2020-01-29
- Finding
  - Quality assurance and governance
  - Published: 2020-01-29
- Finding
  - Record keeping
  - 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/1-2843221132

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