Three Sisters Care Ltd

Requires improvementRated 29/11/2022Home care · London

CQC Key Questions

Safe

Requires improvement

People are protected from abuse and avoidable harm.

Effective

Good

Care achieves good outcomes and quality of life.

Caring

Good

Staff treat people with compassion, dignity, respect.

Responsive

Good

Services are tailored to people's needs.

Well-led

Requires improvement

Leadership and culture support quality care.

What inspectors found

30 findings

Note29 Nov 2022
Respecting and promoting people's privacy, dignity and independence
Note29 Nov 2022
Supporting people to express their views and be involved in making decisions about their care
Note29 Nov 2022
Ensuring people are well treated and supported; respecting equality and diversity

Note29 Nov 2022
Ensuring consent to care and treatment in line with law and guidance
Note29 Nov 2022
Staff working with other agencies to provide consistent, effective, timely care
Note29 Nov 2022
Supporting people to eat and drink enough to maintain a balanced diet
Note29 Nov 2022
Assessing people's needs and choices; delivering care in line with standards, guidance and the law
Note29 Nov 2022
Staff support: induction, training, skills and experience

Note29 Nov 2022
The provider worked within the principles of the Mental Capacity Act 2005.
Note29 Nov 2022
End of life care practices were in place with plans to achieve Gold Standards Framework accreditation.
Note29 Nov 2022
The provider engaged with the local authority, health professionals and community organisations to improve service quality.
Note29 Nov 2022
Staff were supported through monthly group meetings, mentoring for English writing skills, and recognition awards.
Note29 Nov 2022
Complaints were responded to within agreed timescales with lessons learned fed back into practice.
Note

Note29 Nov 2022
End of life care and support
Note29 Nov 2022
Improving care quality in response to complaints or concerns
Note29 Nov 2022
Meeting people's communication needs
Note29 Nov 2022
Planning personalised care to ensure people have choice and control and to meet their needs and preferences

Note29 Nov 2022
Learning lessons when things go wrong
Note29 Nov 2022
Using medicines safely
Note29 Nov 2022
Staffing and recruitment
Note29 Nov 2022
Assessing risk, safety monitoring and management
Note29 Nov 2022
Systems and processes to safeguard people from the risk of abuse
Note29 Nov 2022
Preventing and controlling infection

Note29 Nov 2022
Working in partnership with others
Note29 Nov 2022
Continuous learning and improving care
Note29 Nov 2022
Engaging and involving people using the service, the public and staff
Note29 Nov 2022
Promoting a positive culture that is person-centred, open, inclusive and empowering
Note29 Nov 2022
How the provider understands and acts on the duty of candour
Note29 Nov 2022
Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements