# Laniwyn Care Services

Laniwyn Care Services is a CQC-regulated home-care agency in Hitchin.

## CQC Ratings

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

Rating published: 10/05/2023

## Practical info

- Postcode: SG5 1EH
- Registered manager: Thomas, Raphael
- Local authority: Hertfordshire
- Region: East
- City: Hitchin
- Last CQC check: 10/May/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2022-10-01

### Other

- Finding
  - Evidence: The provider worked in partnership with local authority and health professionals.
  - Published: 2023-07-06
- Finding
  - Evidence: Staff spoke positively about management; regular team meetings were held to ensure good communication.
  - Published: 2023-07-06
- Finding
  - Evidence: The registered manager demonstrated responsiveness to inspection findings, implementing changes immediately including suspending new care packages.
  - Published: 2023-07-06
- Finding
  - Evidence: Safeguarding and whistleblowing policies were in place; staff and management understood their responsibilities.
  - Published: 2023-07-06
- Finding
  - Evidence: People felt safe using the service and staff were described as kind, gentle and respectful.
  - Published: 2023-07-06
- Finding
  - Evidence: Safe recruitment practices were followed, including Disclosure and Barring Service checks before staff began working.
  - Published: 2023-07-06
- Finding
  - Evidence: Medicines were managed safely with regular competency checks and MAR chart audits; relatives reported no issues with medication administration.
  - Published: 2023-07-06
- **infection_control** _(minor)_
  - Evidence: where staff did not wear PPE, a risk assessment to support this decision had not been completed. The registered manager took immediate action to assess this area during the inspection.
  - Published: 2023-07-06
- **communication_with_families** _(minor)_
  - Evidence: Relatives however did say communication with the office could be improved
  - Published: 2023-07-06
- **person_centred_care** _(moderate)_
  - Evidence: Risk assessments were generic and not developed to meet the specific needs of people... Care plans were copied and pasted with generic information
  - Published: 2023-07-06
- **staff_training** _(moderate)_
  - Evidence: recommended higher level specialist training had yet to begin. One staff member told us, 'I think we need better training knowing how to respond when the clients are upset'
  - Published: 2023-07-06
- **governance** _(critical)_
  - Evidence: There were no audits completed by the provider to monitor and assess the quality of the service and ensure the registered manager had maintained effective oversight.
  - Published: 2023-07-06
- **record_keeping** _(critical)_
  - Evidence: daily notes by care staff had been retrospectively entered into people's care record. This included when medicines had been administered.
  - Published: 2023-07-06
- **care_planning** _(critical)_
  - Evidence: one support plan addressed a different person's PEG management. This did not record how staff would monitor the PEG, the frequency or amount of water to use to flush or how to manage blockage
  - Published: 2023-07-06

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-10-01
- Finding
  - Meeting people's communication needs
  - Published: 2022-10-01
- Finding
  - Planning personalised care to ensure people have choice and control; End of life care
  - Published: 2022-10-01

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-07-06
- Finding
  - Using medicines safely
  - Published: 2023-07-06
- Finding
  - Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrong
  - Published: 2023-07-06
- Finding
  - Staffing and recruitment
  - Published: 2023-07-06
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-07-06

### well_led

- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-07-06
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering; Engaging and involving people; Working in partnership with others
  - Published: 2023-07-06
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-07-06
- Finding
  - Working in partnership with others
  - Published: 2022-10-01
- Finding
  - How the provider understands and acts on the duty of candour; Continuous learning and improving care
  - Published: 2022-10-01
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-10-01
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-10-01

## 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/1-4389856886

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