# Harmony Care & Support Ltd

*Operated by Harmony Care and Support Limited.*

Harmony Care & Support Ltd is a CQC-regulated home-care agency in Ilkeston.

## CQC Ratings

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

Rating published: 31/10/2019

## Practical info

- Postcode: DE7 5QE
- Registered manager: Flower, Gail
- Local authority: Derbyshire
- Region: East Midlands
- City: Ilkeston
- Last CQC check: 31/Oct/2019 - 00:00

## Inspection findings

### caring

- Finding
  - Privacy, dignity and involvement in care decisions
  - Published: 2021-04-22
- Finding
  - Relationships and person-centred support
  - Published: 2021-04-22

### effective

- Finding
  - Nutrition and healthcare support
  - Published: 2021-04-22
- Finding
  - Consent and Mental Capacity Act compliance
  - Published: 2021-04-22
- Finding
  - Staff training and competency
  - Published: 2021-04-22

### Other

- Finding
  - Evidence: The registered manager understood notification requirements and reported appropriately to CQC.
  - Published: 2021-04-22
- Finding
  - Evidence: Staff received regular supervision and observations to support practice.
  - Published: 2021-04-22
- Finding
  - Evidence: A structured induction including the Care Certificate was in place for new employees.
  - Published: 2021-04-22
- Finding
  - Evidence: Complaints were investigated and resolved in a timely manner.
  - Published: 2021-04-22
- Finding
  - Evidence: People were involved in planning their care and could make choices; care plans were up to date and reflected individual needs.
  - Published: 2021-04-22
- Finding
  - Evidence: Staff had positive, caring relationships with people and respected privacy and dignity.
  - Published: 2021-04-22
- Finding
  - Evidence: Sufficient and regular staffing with an on-call system available out of hours.
  - Published: 2021-04-22
- Finding
  - Evidence: Medicines were managed safely using blister packs and medication administration records were consistently completed.
  - Published: 2021-04-22
- Finding
  - Evidence: Staff were trained in safeguarding and knew how to raise concerns; risk assessments covered all aspects of care and environment.
  - Published: 2021-04-22
- **consent_capacity** _(moderate)_
  - Evidence: There was no information to show the provider completed assessments to confirm decisions were made in people's best interest when they lacked the capacity to do so.
  - Published: 2021-04-22
- **missed_or_late_visits** _(moderate)_
  - Evidence: Staff had five minutes to travel to each support visit...on occasions this was not sufficient time...we saw records which confirmed people did not always receive the full time allocated.
  - Published: 2021-04-22
- **communication_with_families** _(moderate)_
  - Evidence: A relative told us of several occasions when a message had not be relayed to the staff relating to the person having an appointment. This meant the person did not receive the service they required.
  - Published: 2021-04-22
- **medication_management** _(moderate)_
  - Evidence: We checked medication audits and saw these were completed every month. Where concerns were identified we saw that actions had not been completed.
  - Published: 2021-04-22
- **incident_learning** _(moderate)_
  - Evidence: Two consecutive audits identified the same concerns for one person. The action plan did not include dates for the work to be completed by and staff agreed these actions had not been followed up.
  - Published: 2021-04-22
- **governance** _(critical)_
  - Evidence: The provider did not have a comprehensive approach to auditing the quality of the care being provided. Where auditing was in place it had not been followed through to ensure improvement were made.
  - Published: 2021-04-22

### responsive

- Finding
  - Complaints handling
  - Published: 2021-04-22
- Finding
  - Care planning and responsiveness to needs
  - Published: 2021-04-22

### safe

- Finding
  - Staffing levels and recruitment
  - Published: 2021-04-22
- Finding
  - Medication management
  - Published: 2021-04-22
- Finding
  - Safeguarding and risk assessment
  - Published: 2021-04-22

### well_led

- Finding
  - Leadership and staff support
  - Published: 2021-04-22
- Finding
  - Communication and operational management
  - Published: 2021-04-22
- Finding
  - Quality auditing and governance
  - Published: 2021-04-22
- Finding
  - People's engagement and feedback
  - Published: 2021-01-30
- Finding
  - Staff engagement and support
  - 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/1-361298347

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