# Amicable Care Ltd

Amicable Care Ltd is a CQC-regulated home-care agency in Carlisle.

## CQC Ratings

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

Rating published: 13/02/2025

## Practical info

- Postcode: CA2 4NE
- Registered manager: Davidson, Ann
- Local authority: Cumberland
- Region: North West
- City: Carlisle
- Last CQC check: 13/Feb/2025 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2023-11-18
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2023-11-18
- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2023-11-18

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-11-18
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-11-18
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-11-18

### Other

- Finding
  - Evidence: People reported good communication with management; one person said 'If I contact them, I get satisfaction right away.'
  - Published: 2023-11-18
- Finding
  - Evidence: The service worked alongside other health and social care professionals involved in people's care.
  - Published: 2023-11-18
- Finding
  - Evidence: Staff showed compassion and at times went above and beyond; people noted dignity and respect were upheld.
  - Published: 2023-11-18
- Finding
  - Evidence: Continuity of care was maintained with regular small staff teams familiar with people's needs.
  - Published: 2023-11-18
- Finding
  - Evidence: Staff maintained good infection prevention and control practices; relatives confirmed PPE use and hygiene standards.
  - Published: 2023-11-18
- Finding
  - Evidence: People felt safe and were positive about the care delivered; one person said 'I like the carers I get and feel very safe with no worries.'
  - Published: 2023-11-18
- **staffing_levels** _(critical)_
  - Evidence: References, qualifications and employment histories were not always requested by the provider prior to applicants starting work.
  - Published: 2023-11-18
- **person_centred_care** _(moderate)_
  - Evidence: People and their family members were not consistently involved in their care planning. Some people's care had not been reviewed for over 18 months.
  - Published: 2023-11-18
- **consent_capacity** _(moderate)_
  - Evidence: Information about people's consent to care and how this was gained was not fully recorded. Records did not always evidence a relative's legal status.
  - Published: 2023-11-18
- **missed_or_late_visits** _(moderate)_
  - Evidence: One told us, 'There's been a couple of times when nobody has turned up, because she was accidentally missed off the rota.'
  - Published: 2023-11-18
- **care_planning** _(moderate)_
  - Evidence: Care plans were not completed in a way which promoted person centred care. The provider did not ensure care plans included enough information about people's needs.
  - Published: 2023-11-18
- **supervision_appraisal** _(moderate)_
  - Evidence: Staff were receiving supervision on a regular basis. However, staff did not receive an appraisal in line with the provider's appraisal policy.
  - Published: 2023-11-18
- **staff_training** _(moderate)_
  - Evidence: Quality assurance processes did not always record whether some staff were competent to administer medication and other training they had undertaken.
  - Published: 2023-11-18

### responsive

- Finding
  - Meeting people's communication needs
  - Published: 2023-11-18
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-11-18
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2023-11-18

### safe

- Finding
  - Preventing and controlling infections
  - Published: 2023-11-18
- Finding
  - Staffing and recruitment
  - Published: 2023-11-18
- Finding
  - Systems and processes to safeguard people; assessing risk, safety monitoring and management; learning lessons when things go wrong
  - Published: 2023-11-18
- Finding
  - Using medicines safely
  - Published: 2023-11-18

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-11-18
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-11-18
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-11-18
- Finding
  - Managers and staff being clear about their roles; understanding quality performance, risks and regulatory requirements
  - Published: 2023-11-18

## 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/1-3891994805

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