# Clayfields Business Centre

*Operated by Embrace Healthcare Ltd.*

Clayfields Business Centre is a CQC-regulated home-care agency in Doncaster.

## CQC Ratings

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

Rating published: 11/11/2022

## Practical info

- Postcode: DN4 8QG
- Registered manager: Magocha, Ridgewell
- Local authority: Doncaster
- Region: Yorkshire & Humberside
- City: Doncaster
- Last CQC check: 11/Nov/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Regular spot checks, surveys and reviews ensured people had choice, control and opportunity to give feedback
  - Published: 2022-11-11
- Finding
  - Evidence: People's religious and cultural needs met; protected characteristics upheld by knowledgeable registered manager
  - Published: 2022-11-11
- Finding
  - Evidence: Multi-disciplinary working with GPs, district nurses and social workers to support people's changing needs
  - Published: 2022-11-11
- Finding
  - Evidence: Open learning culture; incidents reflected on, duty of candour upheld, timely CQC notifications made
  - Published: 2022-11-11
- Finding
  - Evidence: Governance and records significantly improved; audits completed regularly, records up to date on online system, no longer in breach of Regulation 17
  - Published: 2022-11-11
- Finding
  - Evidence: Safe recruitment practices including references and DBS checks; staff had sufficient time to support people
  - Published: 2022-11-11
- Finding
  - Evidence: Person-centred, detailed risk assessments reviewed regularly and informed by external healthcare professionals
  - Published: 2022-11-11
- Finding
  - Evidence: Medicines management improved since last inspection; all staff trained and competency assessed, no longer in breach of Regulation 12
  - Published: 2022-11-11

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-11-11
- Finding
  - Staffing and recruitment
  - Published: 2022-11-11
- Finding
  - Preventing and controlling infection
  - Published: 2022-11-11
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-11-11
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-11-11
- Finding
  - Using medicines safely
  - Published: 2022-11-11

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-11-11
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-11-11
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-11-11
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2022-11-11

## 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/1-2866375604

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