# Primavera Domiciliary Care Services Limited

Primavera Domiciliary Care Services Limited is a CQC-regulated home-care agency in Enfield.

## CQC Ratings

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

Rating published: 05/01/2023

## Practical info

- Postcode: EN3 4SA
- Registered manager: Onuma-Nebechi, Caroline
- Local authority: Enfield
- Region: London
- City: Enfield
- Last CQC check: 05/Jan/2023 - 00:00

## Inspection findings

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-01-05
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier lives
  - Published: 2023-01-05
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-01-05
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-01-05
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-01-05

### Other

- Finding
  - Evidence: The registered manager was responsive, approachable, and understood duty of candour and CQC notification responsibilities.
  - Published: 2023-01-05
- Finding
  - Evidence: People were supported to make decisions in line with the Mental Capacity Act 2005, with consent documented in care plans.
  - Published: 2023-01-05
- Finding
  - Evidence: Staff received training and support including specialist and refresher training, and felt supported in their roles.
  - Published: 2023-01-05
- Finding
  - Evidence: The registered manager conducted regular spot checks, monthly medicines management audits, and infection control audits.
  - Published: 2023-01-05
- Finding
  - Evidence: People and relatives spoke positively about support workers being kind, caring, and arriving on time, with communication when running late.
  - Published: 2023-01-05
- Finding
  - Evidence: Staff were trained and competent in infection prevention and control, with consistent PPE use confirmed by people and relatives.
  - Published: 2023-01-05
- Finding
  - Evidence: People received their medicines safely and as prescribed, with complete administration records and no gaps or omissions.
  - Published: 2023-01-05
- **care_planning** _(minor)_
  - Evidence: care plans lacked detail on how this support was to be delivered, people's choices, likes and dislikes.
  - Published: 2023-01-05
- **supervision_appraisal** _(moderate)_
  - Evidence: Records did not evidence that support staff received the required supervision as stipulated by the provider's supervision policy. The registered manager also confirmed that regular formal supervision had not taken place.
  - Published: 2023-01-05
- **governance** _(critical)_
  - Evidence: the registered manager's audit was seen to be ineffective as they did not identify the issues we found as part of the inspection process.
  - Published: 2023-01-05
- **record_keeping** _(moderate)_
  - Evidence: for 3 people it was noted in their care plan to use certain equipment to support them to mobilise. This information had not been recorded or assessed as a risk within the moving and handling risk assessments.
  - Published: 2023-01-05
- **staffing_levels** _(critical)_
  - Evidence: References obtained for staff members...were not always dated and did not record who the referee's was, in which capacity they knew the staff member and from which organisation.
  - Published: 2023-01-05

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-01-05
- Finding
  - Using medicines safely
  - Published: 2023-01-05
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-01-05
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2023-01-05
- Finding
  - Staffing and recruitment
  - Published: 2023-01-05

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff; Working in partnership with others
  - Published: 2023-01-05
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-01-05
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-01-05
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2023-01-05

## 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/1-4554509273

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