# Blue Arch Homecare

*Operated by Blue Arch Homecare Limited.*

Blue Arch Homecare is a CQC-regulated home-care agency in Leicester.

## CQC Ratings

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

Rating published: 09/11/2022

## Practical info

- Postcode: LE5 0TF
- Registered manager: Ramzan, Mohammed
- Local authority: Leicester
- Region: East Midlands
- City: Leicester
- Last CQC check: 09/Nov/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Staff reported good support from the registered manager, who recognised their cultural and religious needs.
  - Published: 2022-11-09
- Finding
  - Evidence: The service worked in partnership with other health and social care professionals to meet people's needs.
  - Published: 2022-11-09
- Finding
  - Evidence: Staff described relevant infection control measures and reported always having sufficient PPE available.
  - Published: 2022-11-09
- Finding
  - Evidence: The registered manager responded swiftly to concerns raised during inspection, taking prompt corrective action.
  - Published: 2022-11-09
- Finding
  - Evidence: Lessons had been learnt when things went wrong, with processes in place for reporting and follow-up of accidents or incidents.
  - Published: 2022-11-09
- Finding
  - Evidence: Medicines were safely supplied to people at the right time and in the way they preferred.
  - Published: 2022-11-09
- Finding
  - Evidence: People were protected from the risk of abuse and staff demonstrated understanding of safeguarding responsibilities.
  - Published: 2022-11-09
- **supervision_appraisal** _(minor)_
  - Evidence: spot checks had not been frequent for some staff as one staff member had only one spot check in the past 12 months.
  - Published: 2022-11-09
- **governance** _(minor)_
  - Evidence: there was no analysis of surveys to identify trends and see if action needed to be taken.
  - Published: 2022-11-09
- **governance** _(moderate)_
  - Evidence: Audits did not check call times or whether the care provided was always consistent with care plans.
  - Published: 2022-11-09
- **infection_control** _(minor)_
  - Evidence: Everyone, except one relative told us staff wore personal protective equipment (PPE) during the COVID-19 pandemic.
  - Published: 2022-11-09
- **staff_competency** _(moderate)_
  - Evidence: references for one staff member had not been sought from a previous care employer, which could have revealed issues of concern.
  - Published: 2022-11-09
- **staffing_levels** _(moderate)_
  - Evidence: one relative who reported staff did not always arrive at agreed call times. Another relative said at times staff were late and there had been no phone call to alert them.
  - Published: 2022-11-09
- **care_planning** _(moderate)_
  - Evidence: The care plan contained information for the type of food needed for the person but not how to encourage the person to eat.
  - Published: 2022-11-09

### safe

- Finding
  - Using medicines safely
  - Published: 2022-11-09
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-11-09
- Finding
  - Learning lessons when things go wrong
  - Published: 2022-11-09
- Finding
  - Preventing and controlling infection
  - Published: 2022-11-09
- Finding
  - Staffing and recruitment
  - Published: 2022-11-09
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-11-09

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-11-09
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-11-09
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-11-09
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-11-09
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-11-09

## 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/1-6410389012

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