# Respect Care Services

*Operated by Respect Care Services Limited.*

Respect Care Services is a CQC-regulated home-care agency in London.

## CQC Ratings

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

Rating published: 23/05/2018

## Practical info

- Postcode: NW6 7UP
- Registered manager: Kelly, Nicholas
- Local authority: Brent
- Region: London
- City: London
- Last CQC check: 23/May/2018 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Previous breaches of Regulations 11, 12, 17 and 18 all remediated since October 2016 inspection
  - Published: 2021-10-30
- Finding
  - Evidence: Service provided additional support at Christmas including meals and extended visits for isolated people
  - Published: 2021-10-30
- Finding
  - Evidence: Positive staff culture with regular supervision, spot checks, appraisals and accessible management
  - Published: 2021-10-30
- Finding
  - Evidence: Strong person-centred care plans including cultural, religious, language and social activity needs
  - Published: 2021-10-30
- Finding
  - Evidence: Robust online quality assurance system monitoring care records, medicines, staff files, complaints and safeguarding
  - Published: 2021-10-30
- Finding
  - Evidence: Locality-based staffing reduced travel time between calls, minimising late or missed visits
  - Published: 2021-10-30
- Finding
  - Evidence: Mental Capacity Act compliance improved since previous inspection; capacity assessments recorded and consent obtained
  - Published: 2021-10-30
- Finding
  - Evidence: Staff received annual safeguarding refresher training and demonstrated understanding of abuse recognition and reporting
  - Published: 2021-10-30
- Finding
  - Evidence: Medicines administration records accurately completed, regularly audited, and staff competency assessed via spot checks
  - Published: 2021-10-30
- Finding
  - Evidence: Personalised, up-to-date risk assessments with clear guidance for staff on managing and minimising risk
  - Published: 2021-10-30
- Finding
  - Evidence: Medicines administration records were accurately completed and spot checks were conducted.
  - Published: 2020-01-29
- Finding
  - Evidence: Complaints were managed in line with policy and people felt listened to.
  - Published: 2020-01-29
- Finding
  - Evidence: Staff received induction training, regular supervision, and could request specialist training based on individual need.
  - Published: 2020-01-29
- Finding
  - Evidence: Staffing levels were sufficient and people reported being seen by consistent, familiar care workers.
  - Published: 2020-01-29
- Finding
  - Evidence: Care workers had good knowledge of people's cultural backgrounds, religions, and personal histories.
  - Published: 2020-01-29
- Finding
  - Evidence: People and relatives gave consistently positive feedback about care workers, noting kindness, compassion, and respect for privacy and dignity.
  - Published: 2020-01-29
- Finding
  - Evidence: Recruitment procedures ensured only suitable staff worked at the service, with thorough documentation including DBS checks and references.
  - Published: 2020-01-29
- Finding
  - Evidence: Staff demonstrated a good understanding of safeguarding procedures and how to recognise and report abuse.
  - Published: 2020-01-29
- **medication_management** _(moderate)_
  - Evidence: any discrepancies in recording or any errors in the administration of medicines may not have been identified or addressed for a significant period of time after the incident occurred.
  - Published: 2020-01-29
- **person_centred_care** _(moderate)_
  - Evidence: care records contained very limited details about people's needs or preferences...very limited or no information about people's life history or preferences in relation to how they wanted their care to be delivered.
  - Published: 2020-01-29
- **supervision_appraisal** _(moderate)_
  - Evidence: appraisals were not conducted regularly...some staff had not had an appraisal for over two years.
  - Published: 2020-01-29
- **safeguarding** _(critical)_
  - Evidence: We identified two safeguarding incidents that had not been reported to CQC as required so that these could be assessed and action taken where appropriate.
  - Published: 2020-01-29
- **governance** _(critical)_
  - Evidence: did not see evidence of audits or any other monitoring of care records...provider was not assessing, monitoring or mitigating the risks we found to service users.
  - Published: 2020-01-29
- **consent_capacity** _(critical)_
  - Evidence: care records that were not signed by the person using the service...no indication within the records about whether the person had the capacity to make this decision.
  - Published: 2020-01-29
- **record_keeping** _(critical)_
  - Evidence: incomplete or inconsistent record keeping that could have placed people at risk of avoidable harm.
  - Published: 2020-01-29
- **care_planning** _(critical)_
  - Evidence: some people's care plans and risk assessments were inconsistent and sometimes lacked information.. For example, in one person's care record we found inconsistent records kept with regard to whether the person smoked.
  - Published: 2020-01-29

## 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/1-367991052

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