# Infinite Intermediate Care Limited Infinite Intermediate Care Limited is a CQC-regulated home-care agency in Peterborough. ## CQC Ratings | Key question | Rating | | --- | --- | | Overall | Good | | Safe | Good | | Effective | Good | | Caring | Good | | Responsive | Good | | Well-led | Good | Rating published: 17/02/2022 ## Practical info - Postcode: PE1 2DU - Registered manager: Patterson, Paulette - Local authority: Peterborough - Region: East - City: Peterborough - Last CQC check: 17/Feb/2022 - 00:00 ## Inspection findings ### effective - Finding - Ensuring consent to care and treatment in line with law and guidance - Published: 2023-08-07 ### Other - Finding - Evidence: People were supported to access external healthcare services and the registered manager proactively noticed changes in health. - Published: 2023-08-07 - Finding - Evidence: No missed care calls reported; registered manager described as always on time. - Published: 2023-08-07 - Finding - Evidence: The registered manager knew people well, respected their dignity and independence, and promoted person-centred communication including use of objects of reference. - Published: 2023-08-07 - Finding - Evidence: Infection control procedures were in place and personal protective equipment was used consistently. - Published: 2023-08-07 - Finding - Evidence: Medicines were administered safely and in line with prescriber's instructions. - Published: 2023-08-07 - Finding - Evidence: Relatives described very positive relationships with the registered manager, with one saying they would give her '11 out of 10'. - Published: 2023-08-07 - **leadership** _(moderate)_ - Evidence: there was no-one else involved in running the service and there was no other oversight of the registered manager's practice. - Published: 2023-08-07 - **staff_training** _(moderate)_ - Evidence: the registered manager told us they received their last training in August 2017, 15 months earlier. This meant they may not be up to date with legislation and best practice. - Published: 2023-08-07 - **record_keeping** _(moderate)_ - Evidence: people's care plans did not consistently record these. This meant that if new staff provided people's care, they would not have sufficient guidance. - Published: 2023-08-07 - **care_planning** _(moderate)_ - Evidence: one person's care plan contained no information about the continence aid they used or the aids they used to help them drink independently. - Published: 2023-08-07 - **governance** _(critical)_ - Evidence: The provider did not have adequate oversight of the service to ensure that people were provided with a high-quality, safe service. - Published: 2023-08-07 - **consent_capacity** _(critical)_ - Evidence: Where people did not have the mental capacity to make decisions, processes had not have been followed to protect people from unlawful restriction and unlawful decision making. - Published: 2023-08-07 - Finding - Evidence: People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. - Published: 2023-08-07 - Finding - Evidence: Mental capacity assessments and best interest decisions were now in place where needed, with families involved in decisions. - Published: 2023-08-07 - Finding - Evidence: Risk assessments were now in place for risks such as bed rails, diabetes and choking, meaning staff had information needed to care for people safely. - Published: 2023-08-07 - **safeguarding** _(critical)_ - Evidence: New staff had sometimes been employed before all of their recruitment checks were returned. Care staff had been employed before their criminal records checked were returned and were working alone. - Published: 2023-08-07 - **leadership** _(critical)_ - Evidence: Although the areas for improvement had been identified during previous inspections and discussed with the registered manager, action had still not been taken to make all of the required improvements. - Published: 2023-08-07 - **record_keeping** _(moderate)_ - Evidence: Handwritten entries to the medicine charts had not included the name of the person making the entry and it had not been countersigned by another member of staff. - Published: 2023-08-07 - **governance** _(critical)_ - Evidence: The provider's governance systems had failed to identify that the recruitment procedure had not always been followed and action had not been taken to request missing information. - Published: 2023-08-07 - **staff_competency** _(critical)_ - Evidence: For the three members of staff who had been employed since the previous inspection; the registered manager was not able to produce a medication competency assessment however they were administering medicines unsupervised. - Published: 2023-08-07 - **staff_training** _(critical)_ - Evidence: Staff were not completing their induction, core training and competency assessments as set by the provider before working with people unsupervised. - Published: 2023-08-07 - **medication_management** _(critical)_ - Evidence: Staff still had not received training and competency assessments before administering medicines to people unsupervised. This meant that people may not receive their medicines as prescribed. - Published: 2023-08-07 ### safe - Finding - Assessing risk, safety monitoring and management - Published: 2023-08-07 - Finding - Staffing and recruitment - Published: 2023-08-07 - Finding - Using medicines safely - Published: 2023-08-07 - Finding - Using medicines safely (Regulation 12 – Safe Care and Treatment) - Published: 2023-08-07 - Finding - Staffing and recruitment (Regulation 19 – Fit and Proper Persons Employed) - Published: 2023-08-07 ### well_led - Finding - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements - Published: 2023-08-07 - Finding - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements (Regulation 17 – Good Governance) - Published: 2023-08-07 ## 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/1-4024190762 HomeCare Compass is an independent guide and is not affiliated with the CQC.