# Northwest Domiciliary Agency

*Operated by Potensial Limited.*

Northwest Domiciliary Agency is a CQC-regulated home-care agency in Ormskirk.

## CQC Ratings

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

Rating published: 04/03/2026

## Practical info

- Postcode: L40 6HP
- Registered manager: Brady, Toni-Marie
- Local authority: Lancashire
- Region: North West
- City: Ormskirk
- Last CQC check: 04/Mar/2026 - 00:00

## Inspection findings

### caring

- Finding
  - Access to advocacy
  - Published: 2021-01-30
- Finding
  - Involvement in care decisions
  - Published: 2021-01-30
- Finding
  - Dignity, respect and independence
  - Published: 2021-01-30

### effective

- Finding
  - Nutrition and hydration
  - Published: 2021-01-30
- Finding
  - Mental Capacity Act compliance
  - Published: 2021-01-30
- Finding
  - Supervision and appraisal
  - Published: 2021-01-30
- Finding
  - Staff training and induction
  - Published: 2021-01-30

### Other

- Finding
  - Evidence: External quality award accreditation demonstrating third-party validation of service quality.
  - Published: 2021-01-30
- Finding
  - Evidence: Information provided in accessible formats including pictograms and audio tapes.
  - Published: 2021-01-30
- Finding
  - Evidence: People supported to maintain independence, community links, hobbies, voluntary and paid work, and religious activities.
  - Published: 2021-01-30
- Finding
  - Evidence: Medication management well organised with clear audits, detailed policies, competency assessments and good pharmacist relationship.
  - Published: 2021-01-30
- Finding
  - Evidence: Comprehensive quality monitoring including monthly health and safety checks, medication audits, infection control audits and cross-checking system across the organisation.
  - Published: 2021-01-30
- Finding
  - Evidence: Strong registered manager with 25 years at the service, visible daily and described as approachable by all staff.
  - Published: 2021-01-30
- Finding
  - Evidence: Person-centred care planning developed with involvement of service users and relatives, with regular reviews.
  - Published: 2021-01-30
- Finding
  - Evidence: Thorough induction programme covering all key areas followed by mandatory training, regular supervision and annual appraisals.
  - Published: 2021-01-30
- Finding
  - Evidence: Robust safeguarding protocols in place with staff confident in reporting concerns or allegations of abuse.
  - Published: 2021-01-30
- Finding
  - Evidence: Very low staff turnover with the most recently appointed member employed four years prior, providing continuity of care.
  - Published: 2021-01-30
- **other** _(minor)_
  - Evidence: there was no policy available to provide staff with clear guidance about the importance of maintaining people's privacy and dignity and promoting their choice and independence.
  - Published: 2021-01-30
- Finding
  - Evidence: Service user meetings held regularly with minutes in picture format to ensure accessible communication.
  - Published: 2017-12-15
- Finding
  - Evidence: Registered manager described as approachable and hardworking; positive feedback from relatives and staff.
  - Published: 2017-12-15

### responsive

- Finding
  - Community access and activities
  - Published: 2021-01-30
- Finding
  - Complaints handling
  - Published: 2021-01-30
- Finding
  - Person-centred care planning
  - Published: 2021-01-30

### safe

- Finding
  - Medication management
  - Published: 2021-01-30
- Finding
  - Risk management
  - Published: 2021-01-30
- Finding
  - Safeguarding
  - Published: 2021-01-30
- Finding
  - Recruitment and staffing
  - Published: 2021-01-30

### well_led

- Finding
  - External partnerships and oversight
  - Published: 2021-01-30
- Finding
  - Quality assurance and governance
  - Published: 2021-01-30
- Finding
  - Leadership and management structure
  - Published: 2021-01-30

## 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/1-313219183

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