# Ami Home Care Limited

Ami Home Care Limited is a CQC-regulated home-care agency in Isleworth.

## CQC Ratings

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

Rating published: 28/05/2021

## Practical info

- Postcode: TW7 6EL
- Registered manager: Menaj, Agnieszka
- Local authority: Hounslow
- Region: London
- City: Isleworth
- Last CQC check: 28/May/2021 - 00:00

## Inspection findings

### caring

- Finding
  - Independence promoted and people's choices respected including gender preference for care workers
  - Published: 2021-10-30
- Finding
  - Staff described as caring, kind, respectful and soft spoken by people and relatives
  - Published: 2021-10-30

### effective

- Finding
  - Mental Capacity Act principles understood; capacity assessments completed at initial assessment
  - Published: 2021-10-30
- Finding
  - Nutrition and hydration monitored; concerns escalated to provider and next of kin
  - Published: 2021-10-30
- Finding
  - Staff completed Care Certificate and induction training; shadowing before lone working
  - Published: 2021-10-30
- Finding
  - Needs assessments carried out prior to care commencement; person-centred care plans produced
  - Published: 2021-10-30

### Other

- Finding
  - Evidence: Mental Capacity Act principles understood and applied appropriately
  - Published: 2021-10-30
- Finding
  - Evidence: Provider and directors undertaking Level 5 management qualification in health and social care
  - Published: 2021-10-30
- Finding
  - Evidence: Complaints were investigated, responded to and discussed at staff meetings to drive improvement
  - Published: 2021-10-30
- Finding
  - Evidence: Care plans were personalised and included religious, cultural and lifestyle information
  - Published: 2021-10-30
- Finding
  - Evidence: Staff completed the Care Certificate and received training including moving and handling, medicines management and safeguarding
  - Published: 2021-10-30
- Finding
  - Evidence: Consistent staffing provided continuity of care with same care workers for each person
  - Published: 2021-10-30
- Finding
  - Evidence: Robust risk assessments identified individual and environmental risks
  - Published: 2021-10-30
- Finding
  - Evidence: People and relatives confirmed staff kept people safe and treated them with respect and dignity
  - Published: 2021-10-30
- **care_planning** _(minor)_
  - Evidence: The discrepancy with one person's care record information had not been picked up and again was addressed promptly at the time of our inspection.
  - Published: 2021-10-30
- **medication_management** _(minor)_
  - Evidence: for people receiving support with their medicines a list of all their medicines was not included in the care records
  - Published: 2021-10-30
- **record_keeping** _(minor)_
  - Evidence: it was not clear how many visits they had received over a period of one week...Other visits for this person had been clearly documented.
  - Published: 2021-10-30
- **governance** _(moderate)_
  - Evidence: Monitoring processes had not always been robust in identifying shortfalls to be addressed.
  - Published: 2021-10-30
- Finding
  - Evidence: Well-led rating improved from Requires Improvement to Good, with positive staff and service-user feedback about management.
  - Published: 2021-05-28

### responsive

- Finding
  - Complaints procedure in place; three complaints investigated and addressed; topics discussed at staff meetings
  - Published: 2021-10-30
- Finding
  - Care plans personalised including lifestyle, interests, religious and cultural needs
  - Published: 2021-10-30

### safe

- Finding
  - Infection control procedures followed; PPE supplied and used
  - Published: 2021-10-30
- Finding
  - Medicines managed via blister packs and MARs; staff trained before supporting with medicines
  - Published: 2021-10-30
- Finding
  - Sufficient staffing with continuity of care workers for each person
  - Published: 2021-10-30
- Finding
  - Recruitment checks carried out including DBS, references and employment history
  - Published: 2021-10-30
- Finding
  - Risk assessments thorough, covering individual, environmental and lone working risks
  - Published: 2021-10-30
- Finding
  - Safeguarding policies and procedures in place; staff knew reporting procedures
  - Published: 2021-10-30

### well_led

- Finding
  - Provider collaborative with health and social care professionals; contingency planning in place
  - Published: 2021-10-30
- Finding
  - Quality assurance system in place including spot checks, supervision, staff meetings and reviews
  - Published: 2021-10-30
- Finding
  - Auditing and monitoring systems not sufficiently robust to identify all shortfalls
  - Published: 2021-10-30

## 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/1-4305856227

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