# AmberGreen Health & Social Care

*Operated by AmberGreen Health & Social Care Ltd.*

AmberGreen Health & Social Care is a CQC-regulated home-care agency in Luton.

## CQC Ratings

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

Rating published: 20/05/2022

## Practical info

- Postcode: LU1 2SJ
- Registered manager: Tandi, Sithabile
- Local authority: Luton
- Region: East
- City: Luton
- Last CQC check: 20/May/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Service engaged with health and social care professionals, including arranging paramedic support for falls
  - Published: 2022-05-20
- Finding
  - Evidence: People's privacy was respected and dignity maintained
  - Published: 2022-05-20
- Finding
  - Evidence: Relatives felt listened to by the provider and registered manager
  - Published: 2022-05-20
- Finding
  - Evidence: Staff felt supported by management with an open-door policy
  - Published: 2022-05-20
- Finding
  - Evidence: Relatives reported staff always wore PPE and there was a regular team of carers
  - Published: 2022-05-20
- Finding
  - Evidence: All staff had completed safeguarding training and had a good understanding of how to keep people safe
  - Published: 2022-05-20
- **complaints_handling** _(minor)_
  - Evidence: An analysis of the information gathered was produced and highlighted some concerns with staff accents and communication. This concern was due to be followed up at the next team meeting, however this did not take place.
  - Published: 2022-05-20
- **missed_or_late_visits** _(moderate)_
  - Evidence: information that we received highlighted several missed and unassigned visits... there was no recorded analysis of this information. This meant there was a possibility people weren't receiving planned care calls.
  - Published: 2022-05-20
- **other** _(moderate)_
  - Evidence: The provider had not ensured safe recruitment practices were being followed. We looked at two recruitment records. For one of the applicants, references had not been certified
  - Published: 2022-05-20
- **infection_control** _(moderate)_
  - Evidence: we were not assured all staff were following this policy regarding COVID-19 testing for staff. Staff are required to self-test twice weekly; the provider was unable to provide evidence of this.
  - Published: 2022-05-20
- **incident_learning** _(moderate)_
  - Evidence: incidents and accidents had not been formally recorded or notified to the appropriate organisation even though the provider had confirmed a system was in place.
  - Published: 2022-05-20
- **staff_training** _(moderate)_
  - Evidence: Staff we spoke with had very little understanding of PRN (as and when required medicines) protocols.
  - Published: 2022-05-20
- **record_keeping** _(moderate)_
  - Evidence: MARs were not always being completed by staff following the administration of medicines
  - Published: 2022-05-20
- **governance** _(critical)_
  - Evidence: The provider had failed to establish systems and processes to assess and improve the quality and safety of the service provided.
  - Published: 2022-05-20
- **care_planning** _(moderate)_
  - Evidence: documentation for somebody diagnosed with type 2 diabetes had a risk assessment in place. However, it did not provide any information relating to signs staff should look out for
  - Published: 2022-05-20
- **medication_management** _(critical)_
  - Evidence: Care staff made us aware of two incidents relating to no medicines in the home for a period of up to three and five days respectively.
  - Published: 2022-05-20
- **medication_management** _(critical)_
  - Evidence: people who needed to have their medicines administered directly through a Percutaneous Endoscopic Gastronomy (PEG), there were no robust clinical protocols in place
  - Published: 2022-05-20
- **medication_management** _(critical)_
  - Evidence: Medication administration records (MARs) were written by the service. However, the information recorded was not sufficient to ensure the possible risks with administration were mitigated.
  - Published: 2022-05-20

### safe

- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-05-20
- Finding
  - Learning lessons when things go wrong
  - Published: 2022-05-20
- Finding
  - Staffing and recruitment
  - Published: 2022-05-20
- Finding
  - Preventing and controlling infection
  - Published: 2022-05-20
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-05-20
- Finding
  - Using medicines safely
  - Published: 2022-05-20

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-05-20
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-05-20
- Finding
  - How the provider understands and acts on the duty of candour; Continuous learning and improving care
  - Published: 2022-05-20
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-05-20
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-05-20

## 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/1-4646684845

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