# AM-R-AZ LLP

AM-R-AZ LLP is a CQC-regulated home-care agency in Daventry.

## CQC Ratings

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

Rating published: 24/02/2023

## Practical info

- Postcode: NN11 4AA
- Registered manager: Sayani, Amirali
- Local authority: West Northamptonshire
- Region: East Midlands
- City: Daventry
- Last CQC check: 24/Feb/2023 - 00:00

## Inspection findings

### effective

- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-03-25
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2023-03-25
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-03-25
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-03-25
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-03-25

### Other

- Finding
  - Evidence: People and relatives could raise concerns with the registered manager and access notes staff had written.
  - Published: 2023-03-25
- Finding
  - Evidence: Staff understood duty of candour and the service apologised when things went wrong.
  - Published: 2023-03-25
- Finding
  - Evidence: The service could share information with healthcare professionals via an online application in emergencies.
  - Published: 2023-03-25
- Finding
  - Evidence: People were supported to maintain a healthy diet and adequate fluid intake with nutrition and hydration records in place.
  - Published: 2023-03-25
- Finding
  - Evidence: Care plans included protected characteristics such as pronouns, religion, culture and preferred gender of staff.
  - Published: 2023-03-25
- Finding
  - Evidence: Staff received safeguarding training and knew how to recognise and report abuse, including to external agencies.
  - Published: 2023-03-25
- Finding
  - Evidence: Effective infection prevention and control measures were in place; staff used PPE effectively and safely.
  - Published: 2023-03-25
- Finding
  - Evidence: Staff were recruited safely with DBS checks and references from previous employers completed before starting work.
  - Published: 2023-03-25
- **incident_learning** _(minor)_
  - Evidence: Staff were not offered regular staff meetings to discuss any concerns, improvements or lessons learnt.
  - Published: 2023-03-25
- **person_centred_care** _(moderate)_
  - Evidence: during these observations an additional member of staff watched other staff give personal care to people. This was not in line with least restrictive options or maintaining people's dignity.
  - Published: 2023-03-25
- **consent_capacity** _(moderate)_
  - Evidence: When the provider completed mental capacity assessments and assessed a person lacked the capacity to make a specific decision a best interest decision had not always been recorded.
  - Published: 2023-03-25
- **record_keeping** _(moderate)_
  - Evidence: Not all people and relatives had seen their care plan. One relative told us, 'We have been asking for a copy of the care plan for ages, we still have not seen it.'
  - Published: 2023-03-25
- **safeguarding** _(critical)_
  - Evidence: The registered manager told us of issues they were having with district nurses requesting staff completed tasks they were not trained to do. The registered manager had not submitted any safeguarding notifications.
  - Published: 2023-03-25
- **supervision_appraisal** _(moderate)_
  - Evidence: Staff told us they did not have any 1:1 time to discuss concerns or issues.
  - Published: 2023-03-25
- **governance** _(moderate)_
  - Evidence: People, relatives and staff told us they were not asked for feedback on the service. One person said, 'I have never been asked.'
  - Published: 2023-03-25

### safe

- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-03-25
- Finding
  - Preventing and controlling infection
  - Published: 2023-03-25
- Finding
  - Staffing and recruitment
  - Published: 2023-03-25
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-03-25
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-03-25
- Finding
  - Using medicines safely
  - Published: 2023-03-25

### well_led

- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-03-25
- Finding
  - Continuous learning and improving care
  - Published: 2023-03-25
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-03-25
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements
  - Published: 2023-03-25

## 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/1-314218236

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