# Carefocal Ltd

Carefocal Ltd is a CQC-regulated home-care agency in Erith.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Requires improvement |
| Caring | Not rated |
| Responsive | Not rated |
| Well-led | Requires improvement |

Rating published: 08/04/2022

## Practical info

- Postcode: DA18 4AL
- Registered manager: Lorde, David
- Local authority: Bexley
- Region: London
- City: Erith
- Last CQC check: 08/Apr/2022 - 00:00

## Inspection findings

### effective

- Finding
  - Supporting people to live healthier lives, access healthcare services and support
  - Published: 2022-04-14
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2022-04-14
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-04-14
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - 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: People reported feeling safe and were positive about staff skills and management approachability.
  - Published: 2022-04-14
- Finding
  - Evidence: Service worked in partnership with healthcare professionals including GPs and district nurses.
  - Published: 2022-04-14
- Finding
  - Evidence: Accidents and incidents were appropriately recorded and investigated in a timely manner.
  - Published: 2022-04-14
- Finding
  - Evidence: Staff were up to date with mandatory training and supported through regular supervision.
  - Published: 2022-04-14
- Finding
  - Evidence: People were protected from the risk of infection; staff had ample PPE and completed infection control training.
  - Published: 2022-04-14
- Finding
  - Evidence: Appropriate adult safeguarding procedures in place; staff completed safeguarding training and knew how to report concerns.
  - Published: 2022-04-14
- **end_of_life_care** _(moderate)_
  - Evidence: People who had a 'Do Not Attempt Resuscitation' form (DNAR) in place, did not have information in their care plans about where in their home this could be located.
  - Published: 2022-04-14
- **staff_competency** _(critical)_
  - Evidence: The provider did not have a robust recruitment process and staff were not always recruited in line with this. Appropriate checks were not completed.
  - Published: 2022-04-14
- **communication_with_families** _(moderate)_
  - Evidence: As a relative, sometimes I'm kept in the dark as far as the visiting times and the staff don't let me know when they are going to be late.
  - Published: 2022-04-14
- **record_keeping** _(moderate)_
  - Evidence: People's care plans recorded contradictory information about their medicines... some people's care plans either did not list their current medicines or had a list of their medicines that was out of date.
  - Published: 2022-04-14
- **consent_capacity** _(moderate)_
  - Evidence: People who had a lasting power of attorney did not have these details recorded in their care plans.
  - Published: 2022-04-14
- **person_centred_care** _(critical)_
  - Evidence: People or their relatives were not involved in planning their care and support. Care plans were not reviewed regularly and were not signed by people or their relatives.
  - Published: 2022-04-14
- **leadership** _(moderate)_
  - Evidence: The provider was not aware of the majority of the concerns we raised during the inspection.
  - Published: 2022-04-14
- **governance** _(critical)_
  - Evidence: The provider's governance of the service was not effective or robust. There was a lack of oversight, leadership and governance at the service.
  - Published: 2022-04-14
- **staffing_levels** _(critical)_
  - Evidence: Both staff don't usually turn up at the same time, one is always late. So, my [relative] is moved by only one staff member which is not safe.
  - Published: 2022-04-14

### safe

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

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-04-14
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-04-14
- Finding
  - Managers and staff are clear about their roles, and understand quality performance, risks and regulatory requirements
  - Published: 2022-04-14
- Finding
  - 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/1-8320052756

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