# Routes Healthcare - Kirklees

*Operated by Routes Healthcare (North) Limited.*

Routes Healthcare - Kirklees is a CQC-regulated home-care agency in Brighouse.

## CQC Ratings

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

Rating published: 19/02/2019

## Practical info

- Postcode: HD6 4AB
- Registered manager: Edgerton, Lee
- Local authority: Calderdale
- Region: Yorkshire & Humberside
- City: Brighouse
- Last CQC check: 19/Feb/2019 - 00:00

## Inspection findings

### caring

- Finding
  - Promoting independence
  - Published: 2021-10-30
- Finding
  - Privacy and dignity
  - Published: 2021-10-30
- Finding
  - Kindness and respect
  - Published: 2021-10-30

### effective

- Finding
  - Working with healthcare professionals
  - Published: 2021-10-30
- Finding
  - Mental Capacity Act / consent
  - Published: 2021-10-30
- Finding
  - Supervision and appraisal
  - Published: 2021-10-30
- Finding
  - Training and induction
  - Published: 2021-10-30

### Other

- Finding
  - Evidence: End of life care wishes recorded in care plans and staff trained in end of life care.
  - Published: 2021-10-30
- Finding
  - Evidence: Staff award ceremonies and thank you postcards used to motivate and recognise good practice.
  - Published: 2021-10-30
- Finding
  - Evidence: Medicines administration training and MAR auditing in place; annual competency assessments planned in line with NICE guidance.
  - Published: 2021-10-30
- Finding
  - Evidence: Proactive 'Speak out' campaign and 24-hour whistleblowing hotline demonstrated commitment to safeguarding culture.
  - Published: 2021-10-30
- Finding
  - Evidence: People told us staff were kind, caring and respectful of their privacy and dignity.
  - Published: 2021-10-30
- Finding
  - Evidence: Monthly clinical governance meetings held to review incidents, accidents, safeguarding and complaints themes.
  - Published: 2021-10-30
- Finding
  - Evidence: Safe recruitment practices including DBS checks consistently followed.
  - Published: 2021-10-30
- Finding
  - Evidence: Staff received training across a wide range of subjects including MCA/DoLS, safeguarding, dementia awareness and end of life care.
  - Published: 2021-10-30
- Finding
  - Evidence: Detailed, person-centred care plans covering communication, mobility, nutrition, emotional wellbeing and equality needs.
  - Published: 2021-10-30
- Finding
  - Evidence: Electronic call monitoring system in place to flag missed or late visits, with evidence of appropriate action taken.
  - Published: 2021-10-30
- **governance** _(minor)_
  - Evidence: the manager told us they aimed to audit fifty percent of daily records and MARs each month if possible, however this had not all been completed due to staff vacancies in the office.
  - Published: 2021-10-30
- **record_keeping** _(minor)_
  - Evidence: We saw one person's care plan audit form had been completed in July 2018, however the action that had been identified had not been completed.
  - Published: 2021-10-30

### responsive

- Finding
  - End of life care
  - Published: 2021-10-30
- Finding
  - Complaints handling
  - Published: 2021-10-30
- Finding
  - Person-centred care planning
  - Published: 2021-10-30

### safe

- Finding
  - Recruitment
  - Published: 2021-10-30
- Finding
  - Medicines management
  - Published: 2021-10-30
- Finding
  - Staffing and missed calls
  - Published: 2021-10-30
- Finding
  - Risk assessments
  - Published: 2021-10-30
- Finding
  - Safeguarding
  - Published: 2021-10-30

### well_led

- Finding
  - Engagement with people and staff
  - Published: 2021-10-30
- Finding
  - Leadership and culture
  - Published: 2021-10-30
- Finding
  - Governance and quality assurance
  - 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/1-4616017620

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