# Cephas Care Ltd Domiciliary Care Agency

*Operated by Cephas Care Limited.*

Cephas Care Ltd Domiciliary Care Agency is a CQC-regulated home-care agency in Ipswich.

## CQC Ratings

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

Rating published: 23/12/2022

## Practical info

- Postcode: IP4 5HT
- Registered manager: Goodchild, Charleigh
- Local authority: Suffolk
- Region: East
- City: Ipswich
- Last CQC check: 23/Dec/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2025-02-27
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity; Respecting and promoting people's privacy, dignity and independence
  - Published: 2025-02-27

### effective

- Finding
  - Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier lives
  - Published: 2025-02-27
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2025-02-27
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2025-02-27
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2025-02-27
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2025-02-27

### Other

- Finding
  - Evidence: Staff recruitment processes included references and DBS checks for newly appointed staff.
  - Published: 2025-02-27
- Finding
  - Evidence: People's oral health needs had been assessed and care plans set out support levels for oral care.
  - Published: 2025-02-27
- Finding
  - Evidence: People were supported to maintain relationships with friends and family with arrangements reflecting individuality.
  - Published: 2025-02-27
- Finding
  - Evidence: People had communication plans in place reflecting preferred methods; staff had undertaken Makaton training and communicated well with people.
  - Published: 2025-02-27
- Finding
  - Evidence: People were supported to access healthcare appointments, with staff calling ambulances when needed and documenting follow-up information.
  - Published: 2025-02-27
- Finding
  - Evidence: Some staff treated people with kindness and were well meaning; relatives described staff as kind, compassionate and sensitive to dignity.
  - Published: 2025-02-27
- **complaints_handling** _(minor)_
  - Evidence: There was not always a correlation between what concerns people told us that they had raised and the records at the agency.
  - Published: 2025-02-27
- **infection_control** _(moderate)_
  - Evidence: Areas including food preparation areas were not always clean and staff did not always fully understand their responsibilities to support people to maintain a clean environment.
  - Published: 2025-02-27
- **record_keeping** _(moderate)_
  - Evidence: Staff did not always complete the handover forms, so it was not clear who was supporting who and when. Clearer accountability was necessary.
  - Published: 2025-02-27

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2025-02-27
- Finding
  - Meeting people's communication needs
  - Published: 2025-02-27
- Finding
  - End of life care and support
  - Published: 2025-02-27
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2025-02-27

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2025-02-27
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2025-02-27
- Finding
  - Staffing and recruitment
  - Published: 2025-02-27
- Finding
  - Using medicines safely
  - Published: 2025-02-27
- Finding
  - Learning lessons when things go wrong
  - Published: 2025-02-27
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2025-02-27

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff; Working in partnership with others
  - Published: 2025-02-27
- Finding
  - How the provider understands and acts on the duty of candour; Continuous learning and improving care
  - Published: 2025-02-27
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2025-02-27
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2025-02-27

## 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/1-350901329

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