# Carewise Ltd

Carewise Ltd is a CQC-regulated home-care agency in Shoreham-by-sea.

## CQC Ratings

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

Rating published: 05/12/2024

## Practical info

- Postcode: BN43 5DB
- Registered manager: Best, Kate
- Local authority: West Sussex
- Region: South East
- City: Shoreham-by-sea
- Last CQC check: 05/Dec/2024 - 00:00

## Inspection findings

### effective

- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-04-20
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-04-20
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-04-20
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-04-20

### Other

- Finding
  - Evidence: People appreciated receiving care from a consistent core team of familiar staff.
  - Published: 2023-04-20
- Finding
  - Evidence: Improved processes for anti-coagulant medicine alerts and time-critical Parkinson's medicines administration.
  - Published: 2023-04-20
- Finding
  - Evidence: Evidence of working effectively with healthcare professionals including community nursing, occupational therapists and the falls team.
  - Published: 2023-04-20
- Finding
  - Evidence: Staff supported a robust induction including the Care Certificate for those new to care.
  - Published: 2023-04-20
- Finding
  - Evidence: Comprehensive range of training opportunities including bespoke training for specific needs such as dementia and eating and drinking safely.
  - Published: 2023-04-20
- Finding
  - Evidence: Safe recruitment processes were in place including DBS checks and appropriate references.
  - Published: 2023-04-20
- Finding
  - Evidence: People felt safe and were happy with the care they received, describing staff as 'Absolutely brilliant', 'Very nice', and 'Always make me feel better'.
  - Published: 2023-04-20
- **staff_competency** _(moderate)_
  - Evidence: The office manager did not have a background in care and was unable to demonstrate they had undertaken any care-based training including safeguarding and medicines.
  - Published: 2023-04-20
- **infection_control** _(moderate)_
  - Evidence: Staff and people told us staff rarely wore face coverings when supporting personal care. This placed people and staff at an increased risk of contracting and spreading Covid-19 and other infections.
  - Published: 2023-04-20
- **consent_capacity** _(moderate)_
  - Evidence: We were not assured by the providers processes to consider people's capacity under the MCA...Some staff we spoke with had limited understanding of MCA.
  - Published: 2023-04-20
- **supervision_appraisal** _(moderate)_
  - Evidence: Staff told us they did not receive formal recorded supervision on a regular basis. Care staff told us they had limited engagement with the registered manager.
  - Published: 2023-04-20
- **leadership** _(critical)_
  - Evidence: The registered manager did not have day to day oversight of, and access to, electronic records relating to people's care or the management and governance of the service.
  - Published: 2023-04-20
- **record_keeping** _(critical)_
  - Evidence: Records and documents were not available on paper or any other electronic device...Information relating to people's care and the running of the business were not held securely.
  - Published: 2023-04-20
- **governance** _(critical)_
  - Evidence: There was a shortfall in their oversight and governance of the service and a continued failure to implement robust quality assurance processes to improve the quality and safety of the service.
  - Published: 2023-04-20
- **incident_learning** _(critical)_
  - Evidence: The provider did not have a robust system in place to monitor or analyse incident records for trends. Information was not used to mitigate the risk of a repeated incident or accident.
  - Published: 2023-04-20
- **safeguarding** _(critical)_
  - Evidence: Some staff we spoke with failed to demonstrate an understanding of the signs and types of abuse or their responsibilities within safeguarding processes.
  - Published: 2023-04-20

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-04-20
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-04-20
- Finding
  - Staffing and recruitment
  - Published: 2023-04-20
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-04-20
- Finding
  - Using medicines safely
  - Published: 2023-04-20
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-04-20

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-04-20
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-04-20
- Finding
  - Continuous learning and improving care
  - Published: 2023-04-20
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-04-20

## 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/1-503948861

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