# Careful Care Limited

Careful Care Limited is a CQC-regulated home-care agency in Cirencester.

## CQC Ratings

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

Rating published: 14/07/2021

## Practical info

- Postcode: GL7 1YD
- Registered manager: Bennett-Hood, Ewelina
- Local authority: Gloucestershire
- Region: South West
- City: Cirencester
- Last CQC check: 14/Jul/2021 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Provider and registered manager were open to learning and making improvements, responding immediately to inspection feedback
  - Published: 2022-07-27
- Finding
  - Evidence: Open door policy from managers; staff felt supported and listened to during COVID-19 lockdown
  - Published: 2022-07-27
- Finding
  - Evidence: Staff wore appropriate PPE and were trained in infection control and COVID-19 practices
  - Published: 2022-07-27
- Finding
  - Evidence: Staff had received appropriate safeguarding training and understood their responsibilities to report concerns and whistle-blow
  - Published: 2022-07-27
- Finding
  - Evidence: Staff were kind and provided care which was personalised and responsive to people's needs
  - Published: 2022-07-27
- Finding
  - Evidence: People were supported by small consistent staff teams who were familiar with their needs
  - Published: 2022-07-27
- **other** _(moderate)_
  - Evidence: Staff may be at risk as they did not always have access to information about any risks of lone working and any associated environmental risks
  - Published: 2022-07-27
- **communication_with_families** _(minor)_
  - Evidence: Some people felt communication could improve if staff were running late.
  - Published: 2022-07-27
- **staff_competency** _(moderate)_
  - Evidence: Records relating to the pre-employments checks that had been completed required some more detail to support the registered managers decision to employ them.
  - Published: 2022-07-27
- **consent_capacity** _(moderate)_
  - Evidence: People's consent to the management of their risks and supports needs had not always been obtained by the provider in line with the principles of the Mental Capacity Act (2005).
  - Published: 2022-07-27
- **record_keeping** _(moderate)_
  - Evidence: The documentation of medicines and the auditing of these records to ensure the safe management of people's medicines required improvement.
  - Published: 2022-07-27
- **governance** _(critical)_
  - Evidence: effective systems had not been established to assess and monitor the service being provided. Complete and contemporaneous records were not always in place
  - Published: 2022-07-27
- **medication_management** _(critical)_
  - Evidence: Medicines risk assessments were not in place which may put some people at risk of avoidable harm; for example, there was no clear risk assessment in place for people who are at increased risk when taking anticoagulants
  - Published: 2022-07-27
- **medication_management** _(critical)_
  - Evidence: people were at risk of not receiving their regular and as required medicines and medicinal creams as prescribed as clear medicine management plans and protocols were not in place
  - Published: 2022-07-27
- **care_planning** _(critical)_
  - Evidence: Where these protocols identified risk to people, these risks had not always been assessed and appropriate risk management plans were not in place for people who may experience falls, epilepsy, swallowing difficulties
  - Published: 2022-07-27

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-07-27
- Finding
  - Preventing and controlling infection
  - Published: 2022-07-27
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-07-27
- Finding
  - Staffing and recruitment
  - Published: 2022-07-27
- Finding
  - Assessing risk, safety monitoring and management; Using medicines safely
  - Published: 2022-07-27

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff; working in partnership with others
  - Published: 2022-07-27
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering; duty of candour; continuous learning and improving care
  - Published: 2022-07-27
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-07-27

## 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/1-758994009

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