# Realise South West

*Operated by Somerset Care Limited.*

Realise South West is a CQC-regulated home-care agency in Taunton.

## CQC Ratings

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

Rating published: 24/05/2022

## Practical info

- Postcode: TA1 2EP
- Registered manager: Fox, Emma-Louise
- Local authority: Somerset
- Region: South West
- City: Taunton
- Last CQC check: 24/May/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: No evidence found of inappropriate restraint or financial mismanagement, the concerns that prompted the inspection.
  - Published: 2023-06-29
- Finding
  - Evidence: Positive organisational culture with staff reporting strong support from management and pride in outcomes for people.
  - Published: 2023-06-29
- Finding
  - Evidence: The provider worked in partnership with external professionals, local mental health teams, and focus groups to improve care.
  - Published: 2023-06-29
- Finding
  - Evidence: Quality audits and checks were undertaken, with statutory notifications submitted as required.
  - Published: 2023-06-29
- Finding
  - Evidence: Staff spoke confidently about safeguarding, their roles, and supported people in a person-centred and respectful manner.
  - Published: 2023-06-29
- Finding
  - Evidence: Staff were safely recruited with relevant DBS and employer checks completed.
  - Published: 2023-06-29
- Finding
  - Evidence: Medicines were managed safely, with regular audits, trained staff, and person-centred approaches including awareness of STOMP.
  - Published: 2023-06-29
- Finding
  - Evidence: Risks to people were assessed and individual risk assessments, emergency plans and care plans were in place to mitigate harm.
  - Published: 2023-06-29
- **person_centred_care** _(minor)_
  - Evidence: Relatives told us they had not been asked to provide feedback about the service.
  - Published: 2023-06-29
- **care_planning** _(minor)_
  - Evidence: Although the information in the care plan was the same as the SALT plan, transcribing information increases the risk of an error.
  - Published: 2023-06-29
- **record_keeping** _(moderate)_
  - Evidence: The provider had experienced technical issues regarding one person's financial records, causing the records to be lost.
  - Published: 2023-06-29
- **staffing_levels** _(moderate)_
  - Evidence: Unfortunately, [the service] are still using agency staff to the detriment of my son's mental health; he doesn't like new faces. It makes him anxious, agitated and likely to self-harm.
  - Published: 2023-06-29
- **communication_with_families** _(moderate)_
  - Evidence: Communication is not good... Sometimes there is no reply, or they are late getting back to you. You seem to be constantly chasing for things from them.
  - Published: 2023-06-29
- Finding
  - Evidence: Service worked in partnership with a wide range of health and social care professionals to support people's needs.
  - Published: 2023-06-29
- Finding
  - Evidence: Effective quality monitoring systems including weekly, monthly and quarterly audits and monthly governance meetings.
  - Published: 2023-06-29
- Finding
  - Evidence: Strong person-centred outcomes evidenced including reduced incidents, medicines reduction and increased independence.
  - Published: 2023-06-29
- Finding
  - Evidence: Positive culture promoted by registered manager with open-door approach, responsive to staff surveys and development of action plans.
  - Published: 2023-06-29
- Finding
  - Evidence: Staff received comprehensive induction, ongoing training including specialist courses (e.g. British Sign Language), and shadow shifts.
  - Published: 2023-06-29
- Finding
  - Evidence: Care plans were detailed, person-centred and included communication profiles, social histories and individual risk assessments.
  - Published: 2023-06-29
- Finding
  - Evidence: Medicines were managed and administered safely with annual competency assessments and electronic MAR systems.
  - Published: 2023-06-29
- Finding
  - Evidence: People felt safe and staff demonstrated effective safeguarding knowledge and reporting practices.
  - Published: 2023-06-29
- **communication_with_families** _(minor)_
  - Evidence: We received mixed feedback from relatives and staff regarding the leadership of the service and communication.
  - Published: 2023-06-29
- **consent_capacity** _(minor)_
  - Evidence: The care plan did not clearly demonstrate that restrictions were regularly reviewed and the person continued to agree with them.
  - Published: 2023-06-29
- **care_planning** _(minor)_
  - Evidence: Staff told us care plans weren't always reviewed and updated. The registered manager had identified this and there was an action plan in place.
  - Published: 2023-06-29
- **supervision_appraisal** _(moderate)_
  - Evidence: It's been a while since I have had supervision, support is available", and "Supervision is basic and often hurried."
  - Published: 2023-06-29
- **staffing_levels** _(moderate)_
  - Evidence: We do need more staff, it's across the sector. Shifts do get covered; we use agency the same ones where we can.
  - Published: 2023-06-29

## 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/1-6977434189

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