# ALICELYN HEALTHCARE LTD

ALICELYN HEALTHCARE LTD is a CQC-regulated home-care agency in Sheffield.

## CQC Ratings

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

Rating published: 09/04/2022

## Practical info

- Postcode: S3 8BT
- Registered manager: Masuka, Sekai
- Local authority: Sheffield
- Region: Yorkshire & Humberside
- City: Sheffield
- Last CQC check: 09/Apr/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views; respecting privacy, dignity and independence
  - Published: 2022-04-14
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2022-04-14

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-04-14
- Finding
  - Staff working with other agencies; supporting people to access healthcare services
  - Published: 2022-04-14
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-04-14
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2022-04-14

### Other

- Finding
  - Evidence: Approachable, visible management promoting a positive, person-centred culture
  - Published: 2022-04-14
- Finding
  - Evidence: Service worked effectively in partnership with GPs, district nurses and social workers
  - Published: 2022-04-14
- Finding
  - Evidence: Staff followed correct infection control procedures with good stocks of PPE
  - Published: 2022-04-14
- Finding
  - Evidence: Safe recruitment processes and staff trained in safeguarding, medicines and infection control
  - Published: 2022-04-14
- Finding
  - Evidence: Person-centred care plans with people and relatives fully involved in decisions about their care
  - Published: 2022-04-14
- Finding
  - Evidence: Highly trained management team (registered nurses) involved directly in care delivery, providing strong oversight
  - Published: 2022-04-14
- Finding
  - Evidence: People felt safe and reported staff were kind and arrived on time, with good continuity from a core staff group
  - Published: 2022-04-14
- **medication_management** _(minor)_
  - Evidence: there had been one medication error since the service began operating. We saw staff had taken appropriate action to keep this person safe, and no harm had been sustained.
  - Published: 2022-04-14
- **record_keeping** _(minor)_
  - Evidence: discussions with people and their relatives about their care and support should be recorded.
  - Published: 2022-04-14
- **staffing_levels** _(moderate)_
  - Evidence: The provider's staffing contingency plans were not robust... current arrangements left almost no margin to cover unplanned absences.
  - Published: 2022-04-14
- **governance** _(moderate)_
  - Evidence: there was no clear systems in place to monitor the quality and safety of daily records, staff files and care files.
  - Published: 2022-04-14
- **governance** _(moderate)_
  - Evidence: the provider's systems of governance were not comprehensive, and some key quality and safety checks had not yet been established.
  - Published: 2022-04-14

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-04-14
- Finding
  - Meeting people's communication needs
  - Published: 2022-04-14
- Finding
  - Planning personalised care; End of life care and support
  - Published: 2022-04-14

### safe

- Finding
  - Using medicines safely
  - Published: 2022-04-14
- Finding
  - Preventing and controlling infection
  - Published: 2022-04-14
- Finding
  - Staffing and recruitment
  - Published: 2022-04-14
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2022-04-14
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-04-14

### well_led

- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-04-14
- Finding
  - Promoting a positive culture; Working in partnership with others; Engaging and involving people using the service
  - Published: 2022-04-14
- Finding
  - Managers and staff being clear about their roles; understanding quality, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2022-04-14

## 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/1-7745251430

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