# Poppy Cottage Limited

Poppy Cottage Limited is a CQC-regulated home-care agency in Uxbridge.

## CQC Ratings

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

Rating published: 19/05/2022

## Practical info

- Postcode: UB9 5LG
- Registered manager: Grantham, Melissa
- Local authority: Buckinghamshire
- Region: South East
- City: Uxbridge
- Last CQC check: 19/May/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2022-05-19

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance (MCA)
  - Published: 2022-05-19
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-05-19
- Finding
  - Assessing people's needs and choices; delivering care in line with standards
  - Published: 2022-05-19
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2022-05-19

### Other

- Finding
  - Evidence: Service no longer in Special Measures following demonstrated improvements
  - Published: 2022-05-19
- Finding
  - Evidence: Recruitment practices improved with DBS checks completed for all new staff
  - Published: 2022-05-19
- Finding
  - Evidence: Effective COVID-19/infection control practices including PPE, testing and visitor checks
  - Published: 2022-05-19
- Finding
  - Evidence: People supported to pursue social, leisure, religious and cultural interests
  - Published: 2022-05-19
- Finding
  - Evidence: Open, positive culture with improved staff morale and supportive management
  - Published: 2022-05-19
- Finding
  - Evidence: Safeguarding systems improved with appointed safeguarding lead and audit trail
  - Published: 2022-05-19
- Finding
  - Evidence: Staffing levels and continuity of care had improved with reduced reliance on agency staff
  - Published: 2022-05-19
- Finding
  - Evidence: Caring rating improved from requires improvement to good; staff interactions warm, friendly and respectful
  - Published: 2022-05-19
- **safeguarding** _(minor)_
  - Evidence: one instance where a staff member had not completed the correct record for an unexplained injury, which meant this was not escalated appropriately.
  - Published: 2022-05-19
- **communication_with_families** _(minor)_
  - Evidence: people's care plans contain accurate information about identified needs and preferences... one person's care plan did not include the use of pictures, shorter words or videos
  - Published: 2022-05-19
- **person_centred_care** _(moderate)_
  - Evidence: recorded care plans did not always provide clear information about people's specific needs or support requirements... 'full support with personal care' was used without explanation
  - Published: 2022-05-19
- **incident_learning** _(moderate)_
  - Evidence: insufficient action was taken in response to a person's hospital treatment for presumed urinary tract infection (UTI) and acute kidney injury to ensure appropriate monitoring systems were agreed
  - Published: 2022-05-19

### responsive

- Finding
  - End of life care and support
  - Published: 2022-05-19
- Finding
  - Supporting people to develop and maintain relationships and follow interests
  - Published: 2022-05-19
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-05-19
- Finding
  - Planning personalised care; meeting people's communication needs
  - Published: 2022-05-19

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2022-05-19
- Finding
  - Using medicines safely
  - Published: 2022-05-19
- Finding
  - Staffing and recruitment
  - Published: 2022-05-19
- Finding
  - Systems and processes to safeguard people from the risk of abuse; learning lessons when things go wrong
  - Published: 2022-05-19
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-05-19

### well_led

- Finding
  - Duty of candour
  - Published: 2022-05-19
- Finding
  - Engaging and involving people, the public and staff; working in partnership with others
  - Published: 2022-05-19
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-05-19
- Finding
  - Managers and staff being clear about their roles, understanding quality, risks and regulatory requirements
  - Published: 2022-05-19

## 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/1-3749563625

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