# Chenai Holistic Home Care Agency Ltd

Chenai Holistic Home Care Agency Ltd is a CQC-regulated home-care agency in Chelmsford.

## CQC Ratings

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

Rating published: 05/06/2025

## Practical info

- Postcode: CM3 5TQ
- Registered manager: Facey, Melesia
- Local authority: Essex
- Region: East
- City: Chelmsford
- Last CQC check: 16/Apr/2026 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2022-08-25
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2022-08-25
- Finding
  - Supporting people to express their views and be involved in decisions
  - Published: 2022-08-25

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-08-25
- Finding
  - Staff working with other agencies and supporting access to healthcare
  - Published: 2022-08-25
- Finding
  - Assessing people's needs and choices; supporting people to eat and drink
  - Published: 2022-08-25
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-08-25

### Other

- Finding
  - Evidence: The provider worked in partnership with health and social care professionals including GPs and district nursing teams.
  - Published: 2023-08-02
- Finding
  - Evidence: Staff felt supported and were able to raise concerns with the management team.
  - Published: 2023-08-02
- Finding
  - Evidence: The service worked within the principles of the Mental Capacity Act 2005.
  - Published: 2023-08-02
- Finding
  - Evidence: The provider engaged regularly with people and relatives to gather feedback and check satisfaction.
  - Published: 2023-08-02
- Finding
  - Evidence: Staff understood safeguarding responsibilities and people told us they felt safe.
  - Published: 2023-08-02
- Finding
  - Evidence: People were supported to take their medicines safely with medicines audits and spot checks in place.
  - Published: 2023-08-02
- Finding
  - Evidence: Infection prevention and control had improved since the last inspection and was no longer in breach of Regulation 12.
  - Published: 2023-08-02
- Finding
  - Evidence: People and relatives spoke positively about staff, describing them as kind, caring and respectful.
  - Published: 2023-08-02
- **record_keeping** _(minor)_
  - Evidence: One member of staff did not have a full employment history recorded.
  - Published: 2023-08-02
- **care_planning** _(moderate)_
  - Evidence: Some risk assessments were not personalised and lacked clear guidance about how to keep people safe. For example, one person's epilepsy risk assessment lacked detail
  - Published: 2023-08-02
- **missed_or_late_visits** _(moderate)_
  - Evidence: Staff were not always staying for the agreed length of time. We also found issues with staff punctuality and the amount of time provided to people
  - Published: 2023-08-02
- **staffing_levels** _(critical)_
  - Evidence: We found a significant number of their visits were half the agreed length of time. The provider was not able to evidence how they analysed this information
  - Published: 2023-08-02
- **governance** _(critical)_
  - Evidence: The provider had not ensured effective processes were in place to monitor the safety and quality of the service. This was a continued breach of Regulation 17
  - Published: 2023-08-02

### responsive

- Finding
  - End of life care and support
  - Published: 2022-08-25
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-08-25
- Finding
  - Meeting people's communication needs
  - Published: 2022-08-25
- Finding
  - Planning personalised care to meet people's needs and preferences
  - Published: 2022-08-25

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2022-08-25

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-08-25
- Finding
  - Engaging and involving people, public and staff
  - Published: 2022-08-25
- Finding
  - Managers and staff being clear about roles and regulatory requirements
  - Published: 2022-08-25
- Finding
  - Promoting a positive person-centred, open and inclusive culture
  - Published: 2022-08-25
- Finding
  - Continuous learning and improving care
  - Published: 2022-08-25

## 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/1-3110022187

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