# PAI Healthcare Ltd

PAI Healthcare Ltd is a CQC-regulated home-care agency in Chesham.

## CQC Ratings

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

Rating published: 04/02/2022

## Practical info

- Postcode: HP5 1EP
- Registered manager: Muchunga, Regina
- Local authority: Buckinghamshire
- Region: South East
- City: Chesham
- Last CQC check: 04/Feb/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2023-11-18
- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2023-11-18
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2023-11-18

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-11-18
- Finding
  - Supporting people to eat and drink enough; staff working with other agencies; supporting people to live healthier lives
  - Published: 2023-11-18
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-11-18
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-11-18

### Other

- Finding
  - Evidence: Staff felt well supported, valued and received appropriate mandatory training and induction including supervised shadowing.
  - Published: 2023-11-18
- Finding
  - Evidence: The registered manager demonstrated openness, transparency and a strong person-centred culture.
  - Published: 2023-11-18
- Finding
  - Evidence: People and relatives were fully involved in care planning decisions and spoke positively about the kind, caring attitude of staff.
  - Published: 2023-11-18
- Finding
  - Evidence: People received their medicines as prescribed by a staff team trained and competency-checked in medication administration.
  - Published: 2023-11-18
- Finding
  - Evidence: Effective infection control processes were in place including regular COVID-19 testing and appropriate PPE use.
  - Published: 2023-11-18
- Finding
  - Evidence: Staff had received safeguarding training and knew how to escalate concerns to the local authority or CQC.
  - Published: 2023-11-18
- Finding
  - Evidence: People received care from a consistent staff team enabling continuity and timely visits with no missed calls reported.
  - Published: 2023-11-18
- **staff_competency** _(minor)_
  - Evidence: Although staff told us competency checks had been carried out, we could not see that these had been formally recorded.
  - Published: 2023-11-18
- **incident_learning** _(moderate)_
  - Evidence: monitoring systems did not look for trends, patterns or causes.
  - Published: 2023-11-18
- **care_planning** _(moderate)_
  - Evidence: People's care plans lacked sufficient detail to guide staff.
  - Published: 2023-11-18
- **governance** _(critical)_
  - Evidence: two safeguarding incidents had been reported to the local authority but not reported to CQC as required.
  - Published: 2023-11-18

### responsive

- Finding
  - End of life care and support
  - Published: 2023-11-18
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-11-18
- Finding
  - Meeting people's communication needs
  - Published: 2023-11-18
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2023-11-18

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-11-18
- Finding
  - Using medicines safely
  - Published: 2023-11-18
- Finding
  - Staffing and recruitment
  - Published: 2023-11-18
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-11-18
- Finding
  - Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrong
  - Published: 2023-11-18

### well_led

- Finding
  - Continuous learning and improving care; working in partnership with others
  - Published: 2023-11-18
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-11-18
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; duty of candour
  - Published: 2023-11-18

## 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/1-6776791059

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