# Medacs Healthcare PLC

Medacs Healthcare PLC is a CQC-regulated home-care agency in Leeds.

## CQC Ratings

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

Rating published: 04/03/2023

## Practical info

- Postcode: LS25 2GH
- Local authority: Leeds
- Region: Yorkshire & Humberside
- City: Leeds
- Last CQC check: 04/Mar/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Notifications about significant events were submitted to CQC and duty of candour systems were in place.
  - Published: 2023-03-04
- Finding
  - Evidence: Staff had received training in PPE use and people confirmed staff wore masks, gloves and aprons appropriately.
  - Published: 2023-03-04
- Finding
  - Evidence: The service was working within the principles of the Mental Capacity Act 2005.
  - Published: 2023-03-04
- Finding
  - Evidence: People felt safe with staff and were complimentary of the care received; staff felt well supported by management.
  - Published: 2023-03-04
- Finding
  - Evidence: Where issues were identified, root cause analyses were completed and lessons learned to prevent recurrence.
  - Published: 2023-03-04
- Finding
  - Evidence: Staff knew what to do if they thought someone was at risk and safeguarding referrals were made appropriately; local authority safeguarding team confirmed the service worked well with them.
  - Published: 2023-03-04
- Finding
  - Evidence: Staff were recruited safely and the registered manager took immediate action to address induction issues identified during inspection.
  - Published: 2023-03-04
- **safeguarding** _(minor)_
  - Evidence: Safeguarding incidents had been investigated appropriately and followed up. However, documentation in relation to these incidents had not always been signed by the registered manager.
  - Published: 2023-03-04
- **missed_or_late_visits** _(minor)_
  - Evidence: One person we spoke with said there had been a missed call. Some people commented calls were not always on time and this has meant calls had been very close together.
  - Published: 2023-03-04
- **person_centred_care** _(minor)_
  - Evidence: One person said they did not know if their care plan had changed when their needs changed. Another said an admin person visited and left a care plan which was supposed to have been updated but never got updated.
  - Published: 2023-03-04
- **governance** _(moderate)_
  - Evidence: Systems to audit quality and safety within the service at branch and provider level were in place but needed some improvement to make sure they covered all aspects of the service.
  - Published: 2023-03-04
- **staff_training** _(moderate)_
  - Evidence: Periods of shadowing for staff new to care were often short and records did not always evidence any follow up with the member of staff to make sure they felt confident in their role.
  - Published: 2023-03-04
- **medication_management** _(moderate)_
  - Evidence: Protocols for administering as needed medicines were not always in place. Some care records on the providers electronic care records system did not always record people's GP and/or pharmacist.
  - Published: 2023-03-04
- **record_keeping** _(moderate)_
  - Evidence: Care files held in the office were not always easy to navigate with archived records mixed with current records... the system did not contain care plans or risk assessments.
  - Published: 2023-03-04
- **care_planning** _(moderate)_
  - Evidence: Some care plans had not been updated or reviewed for more than one year. This meant there was not always evidence to demonstrate risks to people's health and safety were being effectively assessed.
  - Published: 2023-03-04

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-03-04
- Finding
  - Preventing and controlling infection
  - Published: 2023-03-04
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-03-04
- Finding
  - Using medicines safely
  - Published: 2023-03-04
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-03-04
- Finding
  - Staffing and recruitment
  - Published: 2023-03-04

### well_led

- Finding
  - Duty of candour; being open and honest when things go wrong
  - Published: 2023-03-04
- Finding
  - Managers and staff being clear about roles; understanding quality, performance, risks and regulatory requirements; continuous learning
  - Published: 2023-03-04
- Finding
  - Promoting a positive culture; engaging and involving people; working in partnership
  - Published: 2023-03-04

## 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/1-3063105629

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