# Raystra Healthcare

*Operated by Raystra Healthcare Limited.*

Raystra Healthcare is a CQC-regulated home-care agency in Gloucester.

## CQC Ratings

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

Rating published: 11/10/2022

## Practical info

- Postcode: GL1 3EJ
- Registered manager: Frost, Deborah
- Local authority: Gloucestershire
- Region: South West
- City: Gloucester
- Last CQC check: 11/Oct/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Close partnership working with local authority as part of a reablement model supporting hospital discharge.
  - Published: 2022-11-11
- Finding
  - Evidence: Staff positive about support from management; supervision sessions aligned care delivery with service aims.
  - Published: 2022-11-11
- Finding
  - Evidence: Provider no longer in breach of Regulation 17 or Regulation 18; CQC notifications now submitted as required.
  - Published: 2022-11-11
- Finding
  - Evidence: Quality assurance systems improved to include checks on recruitment, notifications, care plans, and call monitoring.
  - Published: 2022-11-11
- Finding
  - Evidence: New system introduced for monitoring accidents and incidents, including investigation of late medicine doses.
  - Published: 2022-11-11
- Finding
  - Evidence: Staff had access to PPE, received infection control and food hygiene training, and COVID-19 testing was in place.
  - Published: 2022-11-11
- Finding
  - Evidence: Medicines records regularly audited by senior staff and staff described as 'Very thorough' in medicines support.
  - Published: 2022-11-11
- Finding
  - Evidence: Risk assessments and care plans included moving and handling guidance and environmental risk identification.
  - Published: 2022-11-11
- Finding
  - Evidence: Sufficient staffing levels with people receiving visits within allocated time slots.
  - Published: 2022-11-11
- Finding
  - Evidence: Improvements made to staff recruitment checks following previous breach; robust pre-employment checks now in place.
  - Published: 2022-11-11
- Finding
  - Evidence: Registered managers understood and acted on duty of candour
  - Published: 2022-10-11
- Finding
  - Evidence: Learning taken from missed visit incident leading to adoption of an improved electronic system
  - Published: 2022-10-11
- Finding
  - Evidence: Infection control training provided and PPE consistently available and used
  - Published: 2022-10-11
- Finding
  - Evidence: Medicines administered by staff who had received relevant training
  - Published: 2022-10-11
- Finding
  - Evidence: Staff worked closely with external health and social care professionals to manage complex needs
  - Published: 2022-10-11
- Finding
  - Evidence: People's consent was sought prior to delivering care and choices were respected
  - Published: 2022-10-11
- Finding
  - Evidence: Robust recruitment process including DBS checks and reference verification
  - Published: 2022-10-11
- Finding
  - Evidence: Staff received safeguarding training and knew how to report concerns
  - Published: 2022-10-11

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-10-11
- Finding
  - Preventing and controlling infection
  - Published: 2022-10-11
- Finding
  - Using medicines safely
  - Published: 2022-10-11
- Finding
  - Staffing and recruitment
  - Published: 2022-10-11
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-10-11
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-10-11
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-10-11

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-10-11
- Finding
  - Continuous learning and improving care
  - Published: 2022-10-11
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-10-11
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-10-11
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-10-11

## 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/1-7332642791

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