# St Elizabeth's Domiciliary Care Agency *Operated by St Elizabeth's Centre.* St Elizabeth's Domiciliary Care Agency is a CQC-regulated home-care agency in Much Hadham. ## CQC Ratings | Key question | Rating | | --- | --- | | Overall | Good | | Safe | Good | | Effective | Good | | Caring | Good | | Responsive | Good | | Well-led | Good | Rating published: 09/07/2025 ## Practical info - Postcode: SG10 6EW - Registered manager: Green, Jennifer - Local authority: Hertfordshire - Region: East - City: Much Hadham - Last CQC check: 09/Jul/2025 - 00:00 ## Inspection findings ### effective - Finding - Ensuring consent to care and treatment in line with law and guidance - Published: 2023-02-02 - Finding - Staff support: induction, training, skills and experience - Published: 2023-02-02 - Finding - Assessing people's needs and choices; delivering care in line with standards, guidance and the law - Published: 2023-02-02 ### Other - Finding - Evidence: Staff were knowledgeable about how to raise safeguarding concerns. - Published: 2023-02-02 - Finding - Evidence: Some relatives reported feeling their family member was safe and that managers were visible and approachable. - Published: 2023-02-02 - Finding - Evidence: The provider had an internal therapy team including occupational therapy and speech and language available to people. - Published: 2023-02-02 - Finding - Evidence: People were supported by staff who had completed a recruitment selection process including pre-employment checks, references and DBS checks. - Published: 2023-02-02 - Finding - Evidence: Staff spoke compassionately about the people they supported and were observed as kind and patient when providing support. - Published: 2023-02-02 - **leadership** _(moderate)_ - Evidence: The management team had not recognised support practices did not promote person-centred, open and empowering care...We found staff using parts of people's kitchens for their own property. - Published: 2023-02-02 - **record_keeping** _(moderate)_ - Evidence: People's care records were not always updated in a timely manner when changes were made by healthcare professionals. - Published: 2023-02-02 - **infection_control** _(moderate)_ - Evidence: We observed staff not following government guidance when using personal protective equipment (PPE)...staff were deployed across all of the supported living services and did not cohort staff teams. - Published: 2023-02-02 - **communication_with_families** _(moderate)_ - Evidence: There is a serious problem with management. They don't communicate and they are short staffed. - Published: 2023-02-02 - **consent_capacity** _(moderate)_ - Evidence: We found example of where staff did not look at the least restrictive practice. There was a lack of consideration in protecting and promoting people's rights. - Published: 2023-02-02 - **incident_learning** _(moderate)_ - Evidence: There was a lack of shared lessons learnt with the whole team...the registered manager gathered information relating to accident and incidents, however, did not effectively look at the overall trends and themes. - Published: 2023-02-02 - **supervision_appraisal** _(moderate)_ - Evidence: Staff supervision records were not consistent, and staff felt there needed to be more team meetings. I have not been asked once in the last 6 months how are you doing by my bungalow manager. - Published: 2023-02-02 - **staff_training** _(moderate)_ - Evidence: People did not always receive support from staff who had the relevant training, including around learning disability, autism, mental health needs and human rights. - Published: 2023-02-02 - **governance** _(critical)_ - Evidence: The provider and registered manager did not have a robust quality assurance system in place...the management team did not have clear oversight that these were actioned. - Published: 2023-02-02 - **person_centred_care** _(critical)_ - Evidence: The service provided 'blanket rules' which resulted in inappropriately restricting people's choice and control. For example, the service locked bathroom doors so they could not be accessed freely. - Published: 2023-02-02 - **staffing_levels** _(critical)_ - Evidence: Due to staff changes a staff member was on their own...a person put their hand on the hob of the oven. This person's risk assessment indicated they should have one to one support. - Published: 2023-02-02 - **care_planning** _(critical)_ - Evidence: People's risk assessments were not clear or coordinated with the information stated in the care plans...someone had been identified with a choking risk, this was not clear in the care plan or risk assessment. - Published: 2023-02-02 ### safe - Finding - Staffing and recruitment - Published: 2023-02-02 - Finding - Preventing and controlling infection - Published: 2023-02-02 - Finding - Learning lessons when things go wrong - Published: 2023-02-02 - Finding - Systems and processes to safeguard people from the risk of abuse - Published: 2023-02-02 - Finding - Assessing risk, safety monitoring and management - Published: 2023-02-02 - Finding - Using medicines safely - Published: 2023-02-02 ### well_led - Finding - Working in partnership with others - Published: 2023-02-02 - Finding - Continuous learning and improving care - Published: 2023-02-02 - Finding - Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirements - Published: 2023-02-02 - Finding - Promoting a positive culture that is person-centred, open, inclusive and empowering - Published: 2023-02-02 ## 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/1-5816703586 HomeCare Compass is an independent guide and is not affiliated with the CQC.