# Coldbrock Healthcare *Operated by Coldbrock Healthcare Ltd.* Coldbrock Healthcare is a CQC-regulated home-care agency in Gloucester. ## CQC Ratings | Key question | Rating | | --- | --- | | Overall | Requires improvement | | Safe | Requires improvement | | Effective | Good | | Caring | Good | | Responsive | Good | | Well-led | Requires improvement | Rating published: 05/01/2023 ## Practical info - Postcode: GL4 3HX - Registered manager: Dumitrascu, Carmen - Local authority: Gloucestershire - Region: South West - City: Gloucester - Last CQC check: 05/Jan/2023 - 00:00 ## Inspection findings ### Other - Finding - Evidence: Effective partnership working maintained with health and social care professionals. - Published: 2023-01-25 - Finding - Evidence: The manager demonstrated understanding of duty of candour and maintained an open and honest approach. - Published: 2023-01-25 - Finding - Evidence: Staff medicine training and competency assessments were in place. - Published: 2023-01-25 - Finding - Evidence: The registered manager took immediate action following inspection feedback on paracetamol administration risk. - Published: 2023-01-25 - Finding - Evidence: PPE was available and correctly used by staff, confirmed by people using the service. - Published: 2023-01-25 - Finding - Evidence: People and relatives were positive about care staff, describing them as friendly, kind, polite and respectful. - Published: 2023-01-25 - Finding - Evidence: Staff had completed safeguarding training and demonstrated understanding of how and when to raise concerns. - Published: 2023-01-25 - Finding - Evidence: Risk assessments had been reviewed and rewritten since last inspection, with detailed information on support required to keep people safe. - Published: 2023-01-25 - **communication_with_families** _(minor)_ - Evidence: Can't say I hear from the office and I haven't had any requests for feedback about the company or the care. - Published: 2023-01-25 - **record_keeping** _(moderate)_ - Evidence: we have found several gaps in the recording of the daily notes for one person. - Published: 2023-01-25 - **governance** _(moderate)_ - Evidence: provider's audits had not identified the concerns we found in relation to medicines and recruitment. - Published: 2023-01-25 - **staff_competency** _(critical)_ - Evidence: Safe procedures were not followed when new staff were recruited to ensure they were safe to provide care to people. - Published: 2023-01-25 - **medication_management** _(critical)_ - Evidence: "As required" time sensitive medicines, such as pain relief, were not always administered with the required minimum time gap in between administration. - Published: 2023-01-25 - **record_keeping** _(critical)_ - Evidence: People's medicines records were not always accurate, complete and contemporaneous. While this placed people at risk of harm. - Published: 2023-01-25 - **governance** _(critical)_ - Evidence: quality assurance and monitoring systems were not fully embedded and were not fully effective at addressing the shortfalls we identified on inspection. - Published: 2023-01-25 - Finding - Evidence: Registered manager maintained good working relationships with partner agencies including commissioners, GPs and health and social care professionals - Published: 2022-08-26 - Finding - Evidence: Staff received medicine training and competency assessments - Published: 2022-08-26 - Finding - Evidence: Environmental risks were assessed and lone-worker safety measures were in place - Published: 2022-08-26 - Finding - Evidence: Supplies of PPE were available to all care staff and staff knew how to use it correctly and safely - Published: 2022-08-26 - Finding - Evidence: Staff had completed safeguarding training and demonstrated good understanding of how and when to raise safeguarding concerns - Published: 2022-08-26 - Finding - Evidence: People were supported by a consistent staffing team that knew them well - Published: 2022-08-26 - **leadership** _(moderate)_ - Evidence: it was evident that the staff relied heavily on the registered manager for day to day support. The registered manager talked to us about the time constraints and volume of work in their job role. - Published: 2022-08-26 - **incident_learning** _(moderate)_ - Evidence: the service did not have an improvement plan in place to evidence actions taken to improve the quality of the service. - Published: 2022-08-26 - **communication_with_families** _(moderate)_ - Evidence: The provider did not collect feedback from people who used the service and their relatives. This meant that people's views were not sought to evaluate and improve the service. - Published: 2022-08-26 ### safe - Finding - Using medicines safely - Published: 2022-08-26 - Finding - Systems and processes to safeguard people from the risk of abuse - Published: 2022-08-26 - Finding - Staffing and recruitment - Published: 2022-08-26 - Finding - Assessing risk, safety monitoring and management; Learning lessons when things go wrong; Preventing and controlling infection - Published: 2022-08-26 ### well_led - Finding - Promoting a positive culture that is person-centred, open, inclusive and empowering; Engaging and involving people using the service, the public and staff; Working in partnership with others - Published: 2022-08-26 - Finding - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; duty of candour; Continuous learning and improving care - Published: 2022-08-26 ## 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/1-6745369595 HomeCare Compass is an independent guide and is not affiliated with the CQC.