# Three Sisters Care Ltd

Three Sisters Care Ltd is a CQC-regulated home-care agency in London.

## CQC Ratings

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

Rating published: 29/11/2022

## Practical info

- Postcode: E1 5HZ
- Registered manager: Begum, Rahena
- Local authority: Tower Hamlets
- Region: London
- City: London
- Last CQC check: 29/Nov/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2022-11-29
- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2022-11-29
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2022-11-29

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-11-29
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2022-11-29
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2022-11-29
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2022-11-29
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-11-29

### Other

- Finding
  - Evidence: The provider worked within the principles of the Mental Capacity Act 2005.
  - Published: 2022-11-29
- Finding
  - Evidence: End of life care practices were in place with plans to achieve Gold Standards Framework accreditation.
  - Published: 2022-11-29
- Finding
  - Evidence: The provider engaged with the local authority, health professionals and community organisations to improve service quality.
  - Published: 2022-11-29
- Finding
  - Evidence: Staff were supported through monthly group meetings, mentoring for English writing skills, and recognition awards.
  - Published: 2022-11-29
- Finding
  - Evidence: Complaints were responded to within agreed timescales with lessons learned fed back into practice.
  - Published: 2022-11-29
- Finding
  - Evidence: Care and support plans were personalised, considering individual routines, preferences, cultural needs and communication requirements.
  - Published: 2022-11-29

### responsive

- Finding
  - End of life care and support
  - Published: 2022-11-29
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-11-29
- Finding
  - Meeting people's communication needs
  - Published: 2022-11-29
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2022-11-29

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-11-29
- Finding
  - Using medicines safely
  - Published: 2022-11-29
- Finding
  - Staffing and recruitment
  - Published: 2022-11-29
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-11-29
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-11-29
- Finding
  - Preventing and controlling infection
  - Published: 2022-11-29

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-11-29
- Finding
  - Continuous learning and improving care
  - Published: 2022-11-29
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-11-29
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-11-29
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-11-29
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-11-29

## 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/1-503749931

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