# Business Box

*Operated by Miss Linda Deazle.*

Business Box is a CQC-regulated home-care agency in Leicester.

## CQC Ratings

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

Rating published: 05/12/2023

## Practical info

- Postcode: LE3 1HR
- Local authority: Leicester
- Region: East Midlands
- City: Leicester
- Last CQC check: 05/Dec/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: DBS checks had been undertaken for all staff.
  - Published: 2023-12-20
- Finding
  - Evidence: The service worked within the principles of the Mental Capacity Act 2005.
  - Published: 2023-12-20
- Finding
  - Evidence: The manager was receptive throughout the inspection and demonstrated commitment to improve the service.
  - Published: 2023-12-20
- Finding
  - Evidence: The manager worked in partnership with local authorities, relatives, and attended CQC and local authority forums.
  - Published: 2023-12-20
- Finding
  - Evidence: Staff completed safeguarding training and knew how to recognise and report abuse.
  - Published: 2023-12-20
- Finding
  - Evidence: Staff wore appropriate PPE and people were protected from infection risks.
  - Published: 2023-12-20
- Finding
  - Evidence: Medicines were managed safely with documented administration records and appropriate guidance from health professionals.
  - Published: 2023-12-20
- Finding
  - Evidence: Risks were assessed and staff took action to mitigate identified risks; relatives expressed confidence in staff's knowledge.
  - Published: 2023-12-20
- Finding
  - Evidence: Staff understood people's individual care needs and associated risks, responding appropriately to non-verbal communication.
  - Published: 2023-12-20
- Finding
  - Evidence: Relatives were positive about the quality of care provided by a small, consistent team of staff who knew people well.
  - Published: 2023-12-20
- **person_centred_care** _(minor)_
  - Evidence: The scope and range of questions asked was limited. This restricted opportunities for people to fully comment upon the quality and experience of the care provided.
  - Published: 2023-12-20
- **leadership** _(moderate)_
  - Evidence: In response to staff shortages the manager was providing personal care and support to people. This restricted the time available to them to monitor the quality and safety of the service.
  - Published: 2023-12-20
- **record_keeping** _(moderate)_
  - Evidence: Staff records did not contain all the necessary documents and evidence to support robust recruitment practices.
  - Published: 2023-12-20
- **staff_competency** _(moderate)_
  - Evidence: Satisfactory evidence of conduct in previous employment within the field of health and social care had not been requested. The provider had relied on character references.
  - Published: 2023-12-20
- **governance** _(critical)_
  - Evidence: Systems and processes had not been sufficiently developed to ensure the effective assessment and monitoring of the service. This is a breach of regulation 17.
  - Published: 2023-12-20
- **staff_training** _(critical)_
  - Evidence: Only 24% staff had completed training in moving and handling people, 34% in basic first aid, 31% in food hygiene, and 35% in health and safety.
  - Published: 2023-12-20
- **staffing_levels** _(critical)_
  - Evidence: There were not always sufficient staff employed to meet people's assessed needs and provide their agreed packages of care.
  - Published: 2023-12-20
- Finding
  - Evidence: Multicultural and multilingual staff team able to support people's cultural and language preferences.
  - Published: 2020-01-29
- Finding
  - Evidence: Annual quality assurance surveys conducted with changes made in response to feedback.
  - Published: 2020-01-29
- Finding
  - Evidence: Medicines system improved since last inspection with personalised medication profiles, stock checks, and competency assessments.
  - Published: 2020-01-29
- Finding
  - Evidence: Caring and compassionate staff culture evidenced by staff visiting hospitalised service users in their own time.
  - Published: 2020-01-29

### safe

- Finding
  - Systems and processes to safeguard people; Learning lessons when things go wrong
  - Published: 2023-12-20
- Finding
  - Preventing and controlling infection
  - Published: 2023-12-20
- Finding
  - Using medicines safely
  - Published: 2023-12-20
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-12-20
- Finding
  - Staffing and recruitment
  - Published: 2023-12-20

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-12-20
- Finding
  - Duty of candour
  - Published: 2023-12-20
- Finding
  - Promoting a positive person-centred, open, inclusive and empowering culture
  - Published: 2023-12-20
- Finding
  - Managers and staff clear on roles; quality performance, risks and regulatory requirements; continuous learning
  - Published: 2023-12-20

## 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/1-476999327

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