# Thirteen57 Ltd

Thirteen57 Ltd is a CQC-regulated home-care agency in Wolverhampton.

## CQC Ratings

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

Rating published: 19/02/2021

## Practical info

- Postcode: WV6 9HD
- Registered manager: Toor, Paramjit
- Local authority: Wolverhampton
- Region: West Midlands
- City: Wolverhampton
- Last CQC check: 19/Feb/2021 - 00:00

## Inspection findings

### effective

- Finding
  - Supporting people to live healthier lives, access healthcare services and support
  - Published: 2024-05-17
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2024-05-17
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2024-05-17
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2024-05-17
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2024-05-17
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2024-05-17

### Other

- Finding
  - Evidence: People and relatives spoke positively about the service; one relative stated staff 'go over and above what they're supposed to do'.
  - Published: 2024-05-17
- Finding
  - Evidence: Duty of candour requirements understood and met by the registered manager.
  - Published: 2024-05-17
- Finding
  - Evidence: An annual report reviewed complaints, feedback and developments to inform service improvements.
  - Published: 2024-05-17
- Finding
  - Evidence: Quality assurance surveys completed and findings collated, shared and used to drive improvements.
  - Published: 2024-05-17
- Finding
  - Evidence: People's gender, culture, religion and oral health needs were assessed as part of the care planning process.
  - Published: 2024-05-17
- Finding
  - Evidence: Staff received training and understood MCA principles, with support to adapt to online delivery during the pandemic.
  - Published: 2024-05-17
- Finding
  - Evidence: MCA compliance improved since last inspection; capacity assessments completed and best interests decisions documented.
  - Published: 2024-05-17
- Finding
  - Evidence: Accidents and incidents were reviewed and learning shared with staff through meetings.
  - Published: 2024-05-17
- Finding
  - Evidence: Staff had access to PPE and followed infection control procedures including COVID-19 precautions.
  - Published: 2024-05-17
- Finding
  - Evidence: Medicines were administered as prescribed with effective monitoring systems in place.
  - Published: 2024-05-17
- Finding
  - Evidence: Risks to people were considered, assessed and reviewed with updates made when needs changed.
  - Published: 2024-05-17
- **consent_capacity** _(moderate)_
  - Evidence: At our last inspection the provider was not always acting in accordance with the MCA when people lacked the mental capacity to make their own decisions.
  - Published: 2024-05-17

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2024-05-17
- Finding
  - Preventing and controlling infection
  - Published: 2024-05-17
- Finding
  - Using medicines safely
  - Published: 2024-05-17
- Finding
  - Staffing and recruitment
  - Published: 2024-05-17
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2024-05-17
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2024-05-17

### well_led

- Finding
  - Working in partnership with others
  - Published: 2024-05-17
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2024-05-17
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2024-05-17
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2024-05-17
- Finding
  - Continuous learning and improving care
  - Published: 2024-05-17
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2024-05-17

## 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/1-449790210

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