# Livingstone Health Care Limited

Livingstone Health Care Limited is a CQC-regulated home-care agency in Barking.

## CQC Ratings

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

Rating published: 01/12/2023

## Practical info

- Postcode: IG11 8BB
- Registered manager: Dombo, Mercy
- Local authority: Barking and Dagenham
- Region: London
- City: Barking
- Last CQC check: 01/Dec/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2024-01-10
- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2024-01-10
- Finding
  - Ensuring people are well treated and supported; equality and diversity
  - Published: 2024-01-10

### effective

- Finding
  - Supporting people to live healthier lives, access healthcare services and support
  - Published: 2024-01-10
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2024-01-10
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2024-01-10
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2024-01-10
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2024-01-10

### Other

- Finding
  - Evidence: A complaints procedure was in place and complaints had been investigated with relevant actions taken.
  - Published: 2024-01-10
- Finding
  - Evidence: The service worked in partnership with health professionals and local authorities to support people's health needs.
  - Published: 2024-01-10
- Finding
  - Evidence: Incident and accident records were maintained with actions taken, supporting lesson learning.
  - Published: 2024-01-10
- Finding
  - Evidence: Systems were in place to prevent and control infection, with staff using appropriate PPE.
  - Published: 2024-01-10
- Finding
  - Evidence: Consent was routinely sought before personal care tasks in line with MCA principles.
  - Published: 2024-01-10
- Finding
  - Evidence: People were treated with kindness, respect and compassion; privacy, dignity and independence were consistently promoted.
  - Published: 2024-01-10
- Finding
  - Evidence: Staff had received induction, training in essential areas (safeguarding, basic life support, moving and handling) and regular supervisions.
  - Published: 2024-01-10
- Finding
  - Evidence: Pre-employment checks including DBS, references and right-to-work checks were carried out for all staff.
  - Published: 2024-01-10
- Finding
  - Evidence: Staff were trained in safeguarding and understood how to protect people from harm; people felt safe with their carers.
  - Published: 2024-01-10
- **record_keeping** _(critical)_
  - Evidence: The failure to maintain accurate, complete and contemporaneous records for each service user meant that service users were at risk of receiving unsafe and inappropriate care.
  - Published: 2024-01-10

### responsive

- Finding
  - End of life care and support
  - Published: 2024-01-10
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2024-01-10
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2024-01-10

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2024-01-10
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2024-01-10
- Finding
  - Learning lessons when things go wrong
  - Published: 2024-01-10
- Finding
  - Staffing and recruitment
  - Published: 2024-01-10
- Finding
  - Using medicines safely
  - Published: 2024-01-10
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2024-01-10

### well_led

- Finding
  - Working in partnership with others
  - Published: 2024-01-10
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2024-01-10
- Finding
  - Managers and staff being clear about their roles; quality performance, risks and regulatory requirements
  - Published: 2024-01-10

## 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/1-3134330991

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