# Living Horizon

*Operated by Living Horizon Ltd.*

Living Horizon is a CQC-regulated home-care agency in Aylesbury.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Not Rated |
| Safe | Not Rated |
| Effective | Not Rated |
| Caring | Not Rated |
| Responsive | Not Rated |
| Well-led | Not Rated |

## Practical info

- Postcode: HP20 1JX
- Registered manager: Rehman, Waqas
- Local authority: Buckinghamshire
- Region: South East
- City: Aylesbury
- Last CQC check: 18/Mar/2024 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Service kept up to date with legislation changes via Skills for Care registered managers forum
  - Published: 2023-03-25
- Finding
  - Evidence: Staff truly valued and promoted people's individuality and person-centred support
  - Published: 2023-03-25
- Finding
  - Evidence: Service worked well in partnership with other health and social care organisations
  - Published: 2023-03-25
- Finding
  - Evidence: Positive feedback from people, staff and professionals about the service and management
  - Published: 2023-03-25
- Finding
  - Evidence: Registered manager had skills, knowledge and experience with clear understanding of people's needs
  - Published: 2023-03-25
- Finding
  - Evidence: Incidents and accidents recorded and communicated to staff with daily briefings
  - Published: 2023-03-25
- Finding
  - Evidence: Medicines administered safely and on time with good hygiene practices
  - Published: 2023-03-25
- Finding
  - Evidence: Sufficient staffing levels including one-to-one support for activities
  - Published: 2023-03-25
- Finding
  - Evidence: Robust recruitment processes in place with required pre-employment checks including DBS
  - Published: 2023-03-25
- Finding
  - Evidence: Staff understood how to safeguard people from abuse and took appropriate action to report concerns
  - Published: 2023-03-25
- **consent_capacity** _(minor)_
  - Evidence: People told us they had consented to 'house rules'...no risk assessment or written explanation of consent from people was recorded.
  - Published: 2023-03-25
- **governance** _(moderate)_
  - Evidence: The registered manager had identified areas for action following audits to improve the development of the service...However, they had been unable to implement the changes.
  - Published: 2023-03-25
- **record_keeping** _(minor)_
  - Evidence: No risk assessment or written explanation of consent from people was recorded. The registered manager promptly agreed to ensure a record was made of decisions made with people's consent.
  - Published: 2023-03-25
- **infection_control** _(minor)_
  - Evidence: We observed staff did not routinely follow best practice guidance in regard to hand hygiene. We found 2 of the 5 staff we met were wearing nail varnish. One member of staff had excessively long nails.
  - Published: 2023-03-25

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-03-25
- Finding
  - Using medicines safely
  - Published: 2023-03-25
- Finding
  - Staffing and recruitment
  - Published: 2023-03-25
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-03-25
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-03-25
- Finding
  - Preventing and controlling infection
  - Published: 2023-03-25

### well_led

- Finding
  - Continuous learning and improving care; Working in partnership with others
  - Published: 2023-03-25
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-03-25
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-03-25
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements
  - Published: 2023-03-25

## 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/1-469634029

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