# Empowerment Care Ltd

Empowerment Care Ltd is a CQC-regulated home-care agency in Cannock.

## CQC Ratings

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

Rating published: 15/03/2023

## Practical info

- Postcode: WS11 0EL
- Registered manager: Jaravani Muguta, Judith
- Local authority: Staffordshire
- Region: West Midlands
- City: Cannock
- Last CQC check: 15/Mar/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: The service collaborated effectively with health and social care professionals such as district nurses and speech and language therapists.
  - Published: 2023-03-15
- Finding
  - Evidence: Staff recruitment was safe, with relevant pre-employment checks including DBS carried out.
  - Published: 2023-03-15
- Finding
  - Evidence: Registered manager was responsive, open and transparent; people, relatives and staff spoke positively about them.
  - Published: 2023-03-15
- Finding
  - Evidence: Effective infection prevention and control practices, including appropriate PPE use.
  - Published: 2023-03-15
- Finding
  - Evidence: Improvements had been made to medicines management since the last inspection, with accurate records and trained staff.
  - Published: 2023-03-15
- Finding
  - Evidence: Staff knew people well and understood how to meet their needs, with no evidence anyone had come to harm.
  - Published: 2023-03-15
- **missed_or_late_visits** _(moderate)_
  - Evidence: One person said, 'They aren't usually on time, they can be 30 minutes late.'
  - Published: 2023-03-15
- **medication_management** _(moderate)_
  - Evidence: Medicines audits did not identify some people's medicines and Medication Administration records (MARS) had not been reviewed for 3 months.
  - Published: 2023-03-15
- **supervision_appraisal** _(moderate)_
  - Evidence: Staff had not received support through supervisions or appraisals. However, staff attended team meetings so they could share their views.
  - Published: 2023-03-15
- **staff_training** _(moderate)_
  - Evidence: No staff had received learning disability training, which is now a requirement for all services who support people with a learning disability.
  - Published: 2023-03-15
- **consent_capacity** _(moderate)_
  - Evidence: We found mental capacity assessments and best interest decisions were not carried out for people who may lack capacity. Relatives choices were followed instead.
  - Published: 2023-03-15
- **incident_learning** _(critical)_
  - Evidence: The provider had received recommendations from the safeguarding team to improve their practice, but these had not been implemented and we found continued concerns during our inspection.
  - Published: 2023-03-15
- **safeguarding** _(critical)_
  - Evidence: People were not always kept safe from avoidable harm as measures identified by the safeguarding team had not all been implemented.
  - Published: 2023-03-15
- **staffing_levels** _(critical)_
  - Evidence: Staff rotas we looked at recorded some staff were attending 2 or more calls at the same time or no staff were assigned to calls at all.
  - Published: 2023-03-15
- **record_keeping** _(critical)_
  - Evidence: Care plans and risk assessments contained conflicting information...the information we reviewed in 1 person's care plan did not reflect the care plan in the person's home.
  - Published: 2023-03-15
- **governance** _(critical)_
  - Evidence: Systems were either not in place or robust enough to demonstrate effective management to ensure quality and manage risk. This was continued breach of Regulation 17.
  - Published: 2023-03-15
- **care_planning** _(critical)_
  - Evidence: People did not always have risks to their safety assessed and planned for. For example, there were no risks assessment in place for specific health conditions people experienced such as motor neurone disease, autism and epilepsy.
  - Published: 2023-03-15

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-03-15
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-03-15
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-03-15
- Finding
  - Staffing and recruitment
  - Published: 2023-03-15
- Finding
  - Using medicines safely
  - Published: 2023-03-15
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-03-15

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-03-15
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-03-15
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-03-15
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-03-15
- Finding
  - Continuous learning and improving care
  - Published: 2023-03-15
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-03-15
- Finding
  - Working in partnership with others
  - Published: 2022-07-26

## 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/1-3012563794

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