# Cynosure Healthcare Services Ltd

Cynosure Healthcare Services Ltd is a CQC-regulated home-care agency in Northampton.

## CQC Ratings

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

Rating published: 24/08/2022

## Practical info

- Postcode: NN3 6AQ
- Registered manager: Chitura, Munashe
- Local authority: West Northamptonshire
- Region: East Midlands
- City: Northampton
- Last CQC check: 24/Aug/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Caring
  - Published: 2020-10-12

### effective

- Finding
  - Effective
  - Published: 2020-10-12

### Other

- Finding
  - Evidence: Staff morale was positive, with staff expressing genuine commitment to person-centred care.
  - Published: 2022-09-29
- Finding
  - Evidence: Registered manager engaged with external organisations and peer forums to share good practice.
  - Published: 2022-09-29
- Finding
  - Evidence: Good communication between management, care staff, and family members.
  - Published: 2022-09-29
- Finding
  - Evidence: Safe recruitment practices including DBS checks and structured induction.
  - Published: 2022-09-29
- Finding
  - Evidence: Sufficient staffing levels with consistent staff allocation, promoting continuity of care.
  - Published: 2022-09-29
- Finding
  - Evidence: Risk assessments were in place with clear guidance for staff, including catheter care and moving and handling.
  - Published: 2022-09-29
- Finding
  - Evidence: Staff demonstrated cultural competency, including learning to prepare culturally appropriate meals such as Jamaican food.
  - Published: 2022-09-29
- Finding
  - Evidence: Family members spoke positively about staff being kind, caring, and having a positive impact on relatives' day-to-day lives.
  - Published: 2022-09-29
- **record_keeping** _(moderate)_
  - Evidence: The topic such as 'notes audit' and 'medication records' was followed by a tick or yes, with no information as to what evidence had been used to assess quality.
  - Published: 2022-09-29
- **safeguarding** _(minor)_
  - Evidence: Not all staff were aware of external organisations they could refer safeguarding concerns to. For example, the local authority safeguarding team.
  - Published: 2022-09-29
- **consent_capacity** _(moderate)_
  - Evidence: The best interest decision was not supported by a clear and agreed protocol of care for staff to follow.
  - Published: 2022-09-29
- **staff_competency** _(moderate)_
  - Evidence: We could not be confident in the competency assessments of staff given they were not consistently following the provider's policy or procedure for medicines.
  - Published: 2022-09-29
- **governance** _(moderate)_
  - Evidence: Audits did not record what action was to be taken, by whom and when and subsequent audits showed improvements were not consistently achieved.
  - Published: 2022-09-29
- **governance** _(critical)_
  - Evidence: Audits had failed to identify medication administration records, and medication administration, were not being carried out in line with the provider's policy.
  - Published: 2022-09-29
- **medication_management** _(critical)_
  - Evidence: A person's care records instructed staff to administer medicine from a dosset box prepared by a family member and not by a pharmacist.
  - Published: 2022-09-29
- **medication_management** _(critical)_
  - Evidence: People's medicine administration records did not always record the dosage or the name of the medicine prescribed.
  - Published: 2022-09-29

### responsive

- Finding
  - Responsive
  - Published: 2020-10-12

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2022-09-29
- Finding
  - Staffing and recruitment
  - Published: 2022-09-29
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-09-29
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-09-29
- Finding
  - Using medicines safely
  - Published: 2022-09-29
- Finding
  - Safe
  - Published: 2020-10-12

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-09-29
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-09-29
- Finding
  - Continuous learning and improving care; Working in partnership with others
  - Published: 2022-09-29
- Finding
  - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements
  - Published: 2022-09-29
- Finding
  - Well-led
  - Published: 2020-10-12

## 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/1-3006419364

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