Operated by Embrace Healthcare Ltd

Clayfields Business Centre

GoodRated 11 Nov 2022Home care · Doncaster

CQC Key Questions

Safe

Good

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

Good

Leadership and culture support quality care.

What inspectors found

18 findings

Note11 Nov 2022
Regular spot checks, surveys and reviews ensured people had choice, control and opportunity to give feedback
Note11 Nov 2022
People's religious and cultural needs met; protected characteristics upheld by knowledgeable registered manager
Note11 Nov 2022
Multi-disciplinary working with GPs, district nurses and social workers to support people's changing needs
Note11 Nov 2022
Open learning culture; incidents reflected on, duty of candour upheld, timely CQC notifications made
Note11 Nov 2022
Governance and records significantly improved; audits completed regularly, records up to date on online system, no longer in breach of Regulation 17
Note11 Nov 2022
Safe recruitment practices including references and DBS checks; staff had sufficient time to support people
Note11 Nov 2022
Person-centred, detailed risk assessments reviewed regularly and informed by external healthcare professionals
Note11 Nov 2022
Medicines management improved since last inspection; all staff trained and competency assessed, no longer in breach of Regulation 12

Note11 Nov 2022
Learning lessons when things go wrong
Note11 Nov 2022
Staffing and recruitment
Note11 Nov 2022
Preventing and controlling infection
Note11 Nov 2022
Systems and processes to safeguard people from the risk of abuse
Note11 Nov 2022
Assessing risk, safety monitoring and management
Note11 Nov 2022
Using medicines safely

Note11 Nov 2022
Working in partnership with others
Note11 Nov 2022
How the provider understands and acts on the duty of candour
Note11 Nov 2022
Promoting a positive culture that is person-centred, open, inclusive and empowering
Note11 Nov 2022
Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving care

Source: CQC inspection reports under the Open Government Licence v3.0.

Practical info