# Innovations Wiltshire Limited - Pelham Court

*Operated by Innovations Wiltshire Limited.*

Innovations Wiltshire Limited - Pelham Court is a CQC-regulated home-care agency in Marlborough.

## CQC Ratings

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

Rating published: 29/07/2022

## Practical info

- Postcode: SN8 2AG
- Registered manager: Young, Sally
- Local authority: Wiltshire
- Region: South West
- City: Marlborough
- Last CQC check: 29/Jul/2022 - 00:00

## Inspection findings

### caring

- Finding
  - People's views and involvement
  - Published: 2020-01-29
- Finding
  - Promoting independence
  - Published: 2020-01-29
- Finding
  - Dignity and respect
  - Published: 2020-01-29

### effective

- Finding
  - Health needs and referrals
  - Published: 2020-01-29

### Other

- Finding
  - Evidence: Regular formal surveys and local authority reviews to gather people's feedback.
  - Published: 2022-07-29
- Finding
  - Evidence: Effective on-call system providing staff with out-of-hours management support.
  - Published: 2022-07-29
- Finding
  - Evidence: Regular unannounced spot checks and quality audits with actions shared across the team.
  - Published: 2022-07-29
- Finding
  - Evidence: Open, person-centred culture with staff input welcomed and acted upon.
  - Published: 2022-07-29
- Finding
  - Evidence: Registered manager visible, approachable, and praised by people, relatives, and staff.
  - Published: 2022-07-29
- Finding
  - Evidence: Accidents and incidents analysed for trends; follow-up actions taken to prevent reoccurrence.
  - Published: 2022-07-29
- Finding
  - Evidence: Sufficient PPE supply maintained throughout COVID-19; infection control policy updated.
  - Published: 2022-07-29
- Finding
  - Evidence: Medicines administered as prescribed with no MAR gaps; annual competency checks completed.
  - Published: 2022-07-29
- Finding
  - Evidence: Personalised positive behaviour support plans co-created with external professionals, reviewed regularly.
  - Published: 2022-07-29
- Finding
  - Evidence: People felt safe and expressed high trust in staff, with no missed visits reported.
  - Published: 2022-07-29

### responsive

- Finding
  - Flexibility and responsiveness to needs
  - Published: 2020-01-29
- Finding
  - Complaints handling
  - Published: 2020-01-29
- Finding
  - Person-centred care planning
  - Published: 2020-01-29

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-07-29
- Finding
  - Preventing and controlling infection
  - Published: 2022-07-29
- Finding
  - Using medicines safely
  - Published: 2022-07-29
- Finding
  - Staffing and recruitment
  - Published: 2022-07-29
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-07-29
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-07-29

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-07-29
- Finding
  - Engaging and involving people using the service, the public and staff, fully considering their equality characteristics
  - Published: 2022-07-29
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2022-07-29
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-07-29
- Finding
  - Community engagement and partnership
  - Published: 2020-01-29
- Finding
  - Leadership and staff support
  - Published: 2020-01-29
- Finding
  - Governance and quality assurance
  - 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/1-2887747875

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