# 1st Healthcare Ltd

1st Healthcare Ltd is a CQC-regulated home-care agency in Brentford.

## CQC Ratings

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

Rating published: 03/02/2023

## Practical info

- Postcode: TW8 9DW
- Registered manager: Atula, Morris
- Local authority: Hounslow
- Region: London
- City: Brentford
- Last CQC check: 03/Feb/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity; Supporting people to express their views and be involved in making decisions; Respecting and promoting privacy, dignity and independence
  - Published: 2025-06-28

### effective

- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2025-06-28
- Finding
  - Staff working with other agencies; Supporting people to live healthier lives and access healthcare
  - Published: 2025-06-28
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2025-06-28
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2025-06-28
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2025-06-28

### Other

- Finding
  - Evidence: DBS checks had been carried out for all three care workers as part of the recruitment process.
  - Published: 2025-06-28
- Finding
  - Evidence: Care workers felt supported by the registered manager and described an open and fair culture.
  - Published: 2025-06-28
- Finding
  - Evidence: People were supported to access healthcare services when required, with GP contact information included in the care plan.
  - Published: 2025-06-28
- Finding
  - Evidence: Care workers respected and supported the person's cultural and religious needs, including accessing relevant television channels and joining in with prayers.
  - Published: 2025-06-28
- Finding
  - Evidence: Staff supported the person to access activities and pursue interests in the local area and online.
  - Published: 2025-06-28
- Finding
  - Evidence: Staff promoted dignity, respect, privacy and independence for the person receiving support.
  - Published: 2025-06-28
- Finding
  - Evidence: Care workers demonstrated good understanding of safeguarding principles and their responsibilities.
  - Published: 2025-06-28
- **infection_control** _(moderate)_
  - Evidence: A relative we spoke with told us when they had visited their family member's home, they saw the care workers did not always comply with best practice in relation to infection control by not always wearing masks.
  - Published: 2025-06-28
- **communication_with_families** _(minor)_
  - Evidence: The relative told us, 'I can get hold of the registered manager if I need to. If I don't call the office, I would not hear anything from them.'
  - Published: 2025-06-28
- **person_centred_care** _(critical)_
  - Evidence: Care plans had not been updated to reflect any information received from external organisations in relation to the support needs of the person.
  - Published: 2025-06-28
- **record_keeping** _(moderate)_
  - Evidence: Care workers had described the person's experience in terms which were not appropriate. For example, a care worker had described the person as 'very naughty' when describing their behaviour during the day
  - Published: 2025-06-28
- **supervision_appraisal** _(moderate)_
  - Evidence: The registered manager explained they had regular supervision meetings with care workers but there were no records of these meetings.
  - Published: 2025-06-28

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2025-06-28
- Finding
  - End of life care and support
  - Published: 2025-06-28
- Finding
  - Planning personalised care; Meeting people's communication needs; Supporting relationships and activities
  - Published: 2025-06-28

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2025-06-28
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2025-06-28
- Finding
  - Staffing and recruitment
  - Published: 2025-06-28
- Finding
  - Using medicines safely
  - Published: 2025-06-28
- Finding
  - Assessing risk, safety monitoring and management; Preventing and controlling infection
  - Published: 2025-06-28

### well_led

- Finding
  - Working in partnership with others
  - Published: 2025-06-28
- Finding
  - Duty of candour; Managers and staff understanding roles, quality performance, risks and regulatory requirements
  - Published: 2025-06-28
- Finding
  - Promoting a positive culture; Engaging and involving people and staff
  - Published: 2025-06-28
- Finding
  - Continuous learning and improving care
  - Published: 2025-06-28

## 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/1-2871345800

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