# Lionheart Domiciliary Care Services Limited - Deptford

*Operated by Lionheart Domiciliary Care Services Limited.*

Lionheart Domiciliary Care Services Limited - Deptford is a CQC-regulated home-care agency in London.

## CQC Ratings

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

Rating published: 28/06/2022

## Practical info

- Postcode: SE8 5AD
- Registered manager: Onyekwere, William
- Local authority: Lewisham
- Region: London
- City: London
- Last CQC check: 28/Jun/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Provider introduced electronic care plans, risk assessments and ECM monitoring system.
  - Published: 2022-06-28
- Finding
  - Evidence: Staff felt well-supported by approachable managers.
  - Published: 2022-06-28
- Finding
  - Evidence: Person-centred and open culture confirmed by people, relatives and staff.
  - Published: 2022-06-28
- Finding
  - Evidence: Provider worked in partnership with health and social care professionals (social workers, OTs, SALT).
  - Published: 2022-06-28
- Finding
  - Evidence: Systems in place to record and learn from accidents and incidents, with care plans updated accordingly.
  - Published: 2022-06-28
- Finding
  - Evidence: Staff demonstrated good understanding of safeguarding and whistleblowing procedures.
  - Published: 2022-06-28
- Finding
  - Evidence: Staff had access to appropriate PPE and followed safe hygiene practices.
  - Published: 2022-06-28
- Finding
  - Evidence: DBS checks were conducted before new staff started working.
  - Published: 2022-06-28
- Finding
  - Evidence: ECM analysis showed people received their care visits on time and staff communicated when running late.
  - Published: 2022-06-28
- Finding
  - Evidence: People and relatives gave positive feedback about the care received, including staff going 'the extra mile'.
  - Published: 2022-06-28
- **care_planning** _(moderate)_
  - Evidence: staff were no longer supporting this person with medicines, but the care plan had not been updated to reflect this change.
  - Published: 2022-06-28
- **governance** _(critical)_
  - Evidence: There were quality assurance processes in place but these were not always effective as they had not identified the issues we found with risk assessments, medicines support and recruitment files.
  - Published: 2022-06-28
- **infection_control** _(moderate)_
  - Evidence: The provider had also not assessed the risk of COVID-19 for people receiving care or staff.
  - Published: 2022-06-28
- **infection_control** _(moderate)_
  - Evidence: The provider was not doing all they could to prevent and control infections as staff were not carrying out regular COVID-19 tests according to current government guidelines.
  - Published: 2022-06-28
- **record_keeping** _(moderate)_
  - Evidence: References from previous employers were not always obtained before people started work.
  - Published: 2022-06-28
- **record_keeping** _(critical)_
  - Evidence: The provider did not obtain a full employment history when recruiting staff and gaps in employment were not explained.
  - Published: 2022-06-28
- **staff_competency** _(critical)_
  - Evidence: The provider did not follow safe recruitment processes to ensure staff were suitable to work with people with health and social care needs.
  - Published: 2022-06-28
- **medication_management** _(moderate)_
  - Evidence: Staff received training in the administration of medicines, however, their competency had not been assessed in line with best practice guidance.
  - Published: 2022-06-28
- **medication_management** _(critical)_
  - Evidence: People's medicines were not always managed safely. Care plans contained conflicting information about the level of support people required to take their medicines.
  - Published: 2022-06-28

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-06-28
- Finding
  - Systems and processes to safeguard people from the risk from abuse
  - Published: 2022-06-28
- Finding
  - Preventing and controlling infection; Assessing risk, safety monitoring and management
  - Published: 2022-06-28
- Finding
  - Using medicines safely
  - Published: 2022-06-28
- Finding
  - Staffing and recruitment
  - Published: 2022-06-28

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-06-28
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-06-28
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-06-28
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-06-28
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2022-06-28

## 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/1-2932397343

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