# Carlton Court

*Operated by Mevtec 360 Locum Limited.*

Carlton Court is a CQC-regulated home-care agency in Southend-on-sea.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Not Rated |
| Safe | Not Rated |
| Effective | Not Rated |
| Caring | Not Rated |
| Responsive | Not Rated |
| Well-led | Not Rated |

## Practical info

- Postcode: SS2 5BZ
- Registered manager: Nduku, Vangilista
- Local authority: Southend-on-Sea
- Region: East
- City: Southend-on-sea
- Last CQC check: 27/Sep/2024 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: DBS checks were completed for staff, and internationally recruited staff received a structured induction including shadow shifts.
  - Published: 2023-03-31
- Finding
  - Evidence: People and relatives were positive about staff, describing them as lovely and caring.
  - Published: 2023-03-31
- Finding
  - Evidence: The registered manager understood their duty of candour responsibilities and worked closely with stakeholders to address issues.
  - Published: 2023-03-31
- Finding
  - Evidence: Staff had received training in infection prevention and control and had access to PPE.
  - Published: 2023-03-31
- Finding
  - Evidence: Staff were aware of how to raise safeguarding concerns and worked with the local authority to keep people safe.
  - Published: 2023-03-31
- **other** _(minor)_
  - Evidence: A full employment history had not been obtained in 1 and only 1 reference had been obtained.
  - Published: 2023-03-31
- **person_centred_care** _(moderate)_
  - Evidence: Care plans we reviewed consisted of a list of tasks for staff to complete rather than detailing how people could be supported to have their needs met safely.
  - Published: 2023-03-31
- **staff_competency** _(moderate)_
  - Evidence: We did not see any evidence of competency assessments and noted five staff were waiting to have medicines training.
  - Published: 2023-03-31
- **record_keeping** _(moderate)_
  - Evidence: Actions from staff meeting minutes were not recorded so there was no evidence issues raised had been addressed.
  - Published: 2023-03-31
- **missed_or_late_visits** _(moderate)_
  - Evidence: The registered manager had no system in place to monitor late or missed calls and relied on people or their relatives being able to ring them.
  - Published: 2023-03-31
- **medication_management** _(critical)_
  - Evidence: We could not be assured people were receiving medicines safely as there were no reviews or audits of medication administration records (MARS) available.
  - Published: 2023-03-31
- **governance** _(critical)_
  - Evidence: Governance systems had not been fully implemented. A quality audit carried out by the service identified audits needed updating.
  - Published: 2023-03-31
- **care_planning** _(critical)_
  - Evidence: Care plans and risk assessments did not contain enough guidance for staff to mitigate risks and provide safe support to people.
  - Published: 2023-03-31

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-02-02
- Finding
  - Meeting people's communication needs
  - Published: 2022-02-02
- Finding
  - Supporting people to develop and maintain relationships to avoid social isolation
  - Published: 2022-02-02
- Finding
  - End of life care and support
  - Published: 2022-02-02

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-03-31
- Finding
  - Preventing and controlling infection
  - Published: 2023-03-31
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-03-31
- Finding
  - Staffing and recruitment
  - Published: 2023-03-31
- Finding
  - Using medicines safely
  - Published: 2023-03-31
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-03-31

### well_led

- Finding
  - Duty of candour; working in partnership; engaging people and staff
  - Published: 2023-03-31
- Finding
  - Promoting a positive culture; managers and staff clear about roles; continuous learning
  - Published: 2023-03-31
- Finding
  - Working in partnership with others
  - Published: 2022-02-02
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-02-02
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-02-02
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-02-02
- Finding
  - Continuous learning and improving care
  - Published: 2022-02-02

## 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/1-3147809776

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