# Excalibur Serviced Offices

*Operated by MADeBA Care Ltd.*

Excalibur Serviced Offices is a CQC-regulated home-care agency in Redditch.

## CQC Ratings

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

Rating published: 20/03/2019

## Practical info

- Postcode: B98 7LG
- Registered manager: Miles, Conrad
- Local authority: Worcestershire
- Region: West Midlands
- City: Redditch
- Last CQC check: 20/Mar/2019 - 00:00

## Inspection findings

### caring

- Finding
  - Privacy and dignity
  - Published: 2020-01-29
- Finding
  - Involvement in care and promotion of independence
  - Published: 2020-01-29
- Finding
  - Kindness and respect from staff
  - Published: 2020-01-29

### effective

- Finding
  - Support with nutrition and healthcare
  - Published: 2020-01-29
- Finding
  - Consent and Mental Capacity Act compliance
  - Published: 2020-01-29
- Finding
  - Staff training and competency
  - Published: 2020-01-29

### Other

- Finding
  - Evidence: Consent sought from people prior to care being provided in line with MCA principles
  - Published: 2020-01-29
- Finding
  - Evidence: No missed or late calls reported; staff confirmed they always arrived on time and stayed the full duration
  - Published: 2020-01-29
- Finding
  - Evidence: Registered manager was widely praised as approachable, supportive and responsive
  - Published: 2020-01-29
- Finding
  - Evidence: Care plans were detailed and person-centred where a care need had been identified
  - Published: 2020-01-29
- Finding
  - Evidence: Staff demonstrated knowledge of safeguarding responsibilities and whistleblowing procedures
  - Published: 2020-01-29
- Finding
  - Evidence: Risk assessments were in place covering equipment use, medicines, showering and dressing
  - Published: 2020-01-29
- Finding
  - Evidence: Consistent staffing arrangements meant people received care from familiar staff they knew well
  - Published: 2020-01-29
- Finding
  - Evidence: People and relatives confirmed they felt safe and praised staff as kind, friendly and respectful
  - Published: 2020-01-29
- **care_planning** _(moderate)_
  - Evidence: The care plan and other records at the office did not show this as an identified care need and did not provide any instructions on how staff needed to complete this.
  - Published: 2020-01-29
- **record_keeping** _(moderate)_
  - Evidence: audits of records returned to the office were not sufficient to identify areas where clarification was needed
  - Published: 2020-01-29
- **governance** _(moderate)_
  - Evidence: Systems in place had not identified shortfalls in some practices undertaken by members of staff and shortfalls in training requirements.
  - Published: 2020-01-29
- **staff_training** _(moderate)_
  - Evidence: suitable refresher training had not been carried out for five years for these staff members and therefore they could not be assured of having current and up to date skills and knowledge
  - Published: 2020-01-29

### responsive

- Finding
  - Social inclusion and activities
  - Published: 2020-01-29
- Finding
  - Complaints handling
  - Published: 2020-01-29
- Finding
  - Person-centred care planning
  - Published: 2020-01-29

### safe

- Finding
  - Recruitment practices
  - Published: 2020-01-29
- Finding
  - Medicines management
  - Published: 2020-01-29
- Finding
  - Staffing levels and consistency
  - Published: 2020-01-29
- Finding
  - Risk assessments
  - Published: 2020-01-29
- Finding
  - Safeguarding and protection from abuse
  - Published: 2020-01-29

### well_led

- Finding
  - Seeking feedback from people
  - Published: 2020-01-29
- Finding
  - Staff engagement and meetings
  - Published: 2020-01-29
- Finding
  - Leadership and culture
  - Published: 2020-01-29
- Finding
  - Governance and oversight systems
  - Published: 2020-01-29

## 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/1-3130837660

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