# Evolving Care Ltd Crewe

*Operated by Evolving Care Limited.*

Evolving Care Ltd Crewe is a CQC-regulated home-care agency in Crewe.

## CQC Ratings

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

Rating published: 10/04/2024

## Practical info

- Postcode: CW2 7EP
- Registered manager: Costello, Aimee
- Local authority: Cheshire East
- Region: North West
- City: Crewe
- Last CQC check: 10/Apr/2024 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: The provider understood their responsibilities under the duty of candour and displayed last inspection ratings at the service and on their website.
  - Published: 2025-12-12
- Finding
  - Evidence: People with a learning disability or autism were supported to have maximum choice and control in the least restrictive way.
  - Published: 2025-12-12
- Finding
  - Evidence: Staff had access to PPE and infection control practices were satisfactory; people confirmed staff wore PPE and washed hands.
  - Published: 2025-12-12
- Finding
  - Evidence: The provider invested in an electronic recording system to ensure calls are attended, medicines administered, and notes recorded and overseen by the office.
  - Published: 2025-12-12
- Finding
  - Evidence: Improvements were made to quality systems and auditing processes since the last inspection, including enhanced monitoring of the care system on an on-call/out-of-hours basis.
  - Published: 2025-12-12
- Finding
  - Evidence: People told inspectors they felt safe whilst receiving care and many were complimentary about the standard of care.
  - Published: 2025-12-12
- **record_keeping** _(critical)_
  - Evidence: People's care records and risk assessments were not reviewed after an incident.
  - Published: 2025-12-12
- **person_centred_care** _(minor)_
  - Evidence: The provider was unable to evidence annual survey engagement and feedback improvement plans, from people or their families.
  - Published: 2025-12-12
- **missed_or_late_visits** _(moderate)_
  - Evidence: Reports of staff being late, frequent breakdown of staff vehicles and staff changes without informing the person or the family member.
  - Published: 2025-12-12
- **staff_competency** _(moderate)_
  - Evidence: Staff were not always recruited safely. We found that recruitment and induction processes were not robust.
  - Published: 2025-12-12
- **governance** _(critical)_
  - Evidence: The provider's system did not always effectively monitor the quality of care provided to drive improvements.
  - Published: 2025-12-12
- **supervision_appraisal** _(moderate)_
  - Evidence: Staff did not have regular supervision or appraisals of their performance. Staff told us they could not recall the last time they spoke with the registered manager.
  - Published: 2025-12-12
- **staffing_levels** _(moderate)_
  - Evidence: For some staff, we found excessively long shifts from early morning till later at night. This was evidenced by rotas and staff interviews.
  - Published: 2025-12-12
- **staffing_levels** _(moderate)_
  - Evidence: We found on two consecutive visits that the rotas were not complete for the following week, and this was corroborated by discussions with staff.
  - Published: 2025-12-12
- **staff_training** _(critical)_
  - Evidence: Induction training was completed on the same day for a large percentage of staff, this was a total of 18 courses for 47 staff members out of 57.
  - Published: 2025-12-12
- **care_planning** _(critical)_
  - Evidence: Risks had not been sufficiently assessed or mitigated and care plans were not always in place to guide staff on how to keep people safe.
  - Published: 2025-12-12
- **incident_learning** _(critical)_
  - Evidence: A person's care plan and risk assessment were not updated after an incident that had occurred.
  - Published: 2025-12-12
- **safeguarding** _(critical)_
  - Evidence: Records held with the provider and the safeguarding referrals made to the local authority were not always reported by way of notification to CQC.
  - Published: 2025-12-12
- **medication_management** _(critical)_
  - Evidence: Training matrix record showed that the training course for medication administration was completed the same day as 18 other courses for much of the workforce.
  - Published: 2025-12-12
- **medication_management** _(critical)_
  - Evidence: Medicine records for as required medication lacked detail for people, eye drops and creams were not always effectively managed as well as risk assessments required for prescribed creams.
  - Published: 2025-12-12

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2025-12-12
- Finding
  - Systems and processes to safeguard people from the risk of abuse and avoidable harm
  - Published: 2025-12-12
- Finding
  - Staffing and recruitment
  - Published: 2025-12-12
- Finding
  - Preventing and controlling infection
  - Published: 2025-12-12
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2025-12-12
- Finding
  - Using medicines safely
  - Published: 2025-12-12

### well_led

- Finding
  - Duty of candour
  - Published: 2025-12-12
- Finding
  - Promoting a positive, person-centred, open and inclusive culture
  - Published: 2025-12-12
- Finding
  - Continuous learning and improving care; quality performance, risks and regulatory requirements
  - Published: 2025-12-12

## 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/1-630236616

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