# Change Social Care Solutions Ltd

Change Social Care Solutions Ltd is a CQC-regulated home-care agency in London.

## CQC Ratings

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

Rating published: 23/12/2022

## Practical info

- Postcode: NW10 7SU
- Registered manager: Enoe, Karen
- Local authority: Brent
- Region: London
- City: London
- Last CQC check: 23/Dec/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Risk assessments in place covering moving and handling, falls, and Warfarin use.
  - Published: 2022-12-23
- Finding
  - Evidence: Independent external professional carried out staff supervisions to enable open feedback.
  - Published: 2022-12-23
- Finding
  - Evidence: Registered manager is a registered social worker, best interest assessor, health and safety advisor, and Skills for Care forum chair.
  - Published: 2022-12-23
- Finding
  - Evidence: Staff felt well supported, valued and motivated by an approachable management team.
  - Published: 2022-12-23
- Finding
  - Evidence: Robust infection control practices including PPE supply, temperature checks, and COVID-19 communication.
  - Published: 2022-12-23
- Finding
  - Evidence: Electronic monitoring system used to track staff punctuality and visit duration in real time.
  - Published: 2022-12-23
- Finding
  - Evidence: Safe recruitment practices in place including references, identity checks, right to work checks, and DBS checks.
  - Published: 2022-12-23
- Finding
  - Evidence: Positive relationships developed between care workers and people they supported, with consistent care workers assigned.
  - Published: 2022-12-23
- **governance** _(moderate)_
  - Evidence: The issues we found with the completion of MARs during this inspection was not clearly identified by the provider.
  - Published: 2022-12-23
- **record_keeping** _(moderate)_
  - Evidence: medicines administration had not been documented on the MAR due to issues with the electronic system and also human error
  - Published: 2022-12-23
- **medication_management** _(moderate)_
  - Evidence: At the time of this inspection, the provider was not carrying out formal medicine audits.
  - Published: 2022-12-23
- **medication_management** _(moderate)_
  - Evidence: there were a few occasions where it was not clear from looking at the MAR whether medicines had been administered
  - Published: 2022-12-23
- Finding
  - Evidence: Registered manager demonstrated exceptional leadership; described as a registered social worker, best interest assessor and health and safety advisor.
  - Published: 2019-06-06
- Finding
  - Evidence: Strong quality assurance systems including audits, accident/incident monitoring, staff supervision and spot checks drove continuous improvement.
  - Published: 2019-06-06
- Finding
  - Evidence: The service worked effectively with other agencies including local authorities, hospitals and healthcare professionals.
  - Published: 2019-06-06
- Finding
  - Evidence: People's dignity, privacy and independence were respected; same-gender care policy was in place and followed.
  - Published: 2019-06-06
- Finding
  - Evidence: Person-centred care plans gave comprehensive accounts of needs, preferences, culture, religion and language, with care workers matched accordingly.
  - Published: 2019-06-06
- Finding
  - Evidence: Care workers completed induction based on the Care Certificate framework and received regular supervision, appraisals and competency spot checks.
  - Published: 2019-06-06
- Finding
  - Evidence: Medicines were safely managed; MAR records were completed appropriately and regularly audited.
  - Published: 2019-06-06

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-12-23
- Finding
  - Preventing and controlling infection
  - Published: 2022-12-23
- Finding
  - Staffing and recruitment
  - Published: 2022-12-23
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-12-23
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-12-23
- Finding
  - Using medicines safely
  - Published: 2022-12-23

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-12-23
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-12-23
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-12-23
- Finding
  - Continuous learning and improving care
  - Published: 2022-12-23
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-12-23

## 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/1-5175762117

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