# Compassion Care Service Limited

Compassion Care Service Limited is a CQC-regulated home-care agency in Loughborough.

## CQC Ratings

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

Rating published: 08/09/2023

## Practical info

- Postcode: LE12 7GS
- Registered manager: Dunsmore, Clair
- Local authority: Leicestershire
- Region: East Midlands
- City: Loughborough
- Last CQC check: 08/Sep/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Registered manager was open, responsive, and took immediate corrective action during the inspection.
  - Published: 2023-09-08
- Finding
  - Evidence: Positive person-centred culture with high staff morale and consistently positive feedback from people, relatives, and external professionals.
  - Published: 2023-09-08
- Finding
  - Evidence: Strong governance and quality assurance systems including spot checks, care call monitoring, audits, and 6-monthly surveys.
  - Published: 2023-09-08
- Finding
  - Evidence: Accidents and incidents were recorded, acted upon, and used for learning to reduce reoccurrence.
  - Published: 2023-09-08
- Finding
  - Evidence: Medicines were managed safely with care plans, risk assessments, and regular monitoring by the registered manager.
  - Published: 2023-09-08
- Finding
  - Evidence: Consistent staffing with no late or missed calls reported; people received care from regular staff.
  - Published: 2023-09-08
- Finding
  - Evidence: People were protected from abuse and avoidable harm; staff were trained in safeguarding and knew how to recognise and report concerns.
  - Published: 2023-09-08
- **consent_capacity** _(minor)_
  - Evidence: the registered manager did not have a mental capacity and best interest assessment tool. However, following our inspection, the registered manager forwarded us an MCA and best interest document.
  - Published: 2023-09-08
- **record_keeping** _(minor)_
  - Evidence: Where character references were requested, we noted the length of time the referee knew the person and the relationship was not clear.
  - Published: 2023-09-08
- **staff_competency** _(minor)_
  - Evidence: moving and handling training was also online... the director registered on a train the trainer moving and handling course.
  - Published: 2023-09-08
- **staff_training** _(minor)_
  - Evidence: staff had received online training in first aid, whilst the modules were detailed this did not include practical face to face training.
  - Published: 2023-09-08
- **care_planning** _(minor)_
  - Evidence: Guidance for staff about people's known health conditions and the impact on the person and their care was limited.
  - Published: 2023-09-08

## 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/1-3075565096

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