# Home Care & Support Limited

Home Care & Support Limited is a CQC-regulated home-care agency in Bromley.

## CQC Ratings

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

Rating published: 19/04/2023

## Practical info

- Postcode: BR2 9NN
- Registered manager: De Silva, Hiswella
- Local authority: Bromley
- Region: London
- City: Bromley
- Last CQC check: 19/Apr/2023 - 00:00

## Inspection findings

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-07-27
- Finding
  - Staff working with other agencies; supporting people to access healthcare services
  - Published: 2022-07-27

### Other

- Finding
  - Evidence: Regular staff meetings were held and spot checks were carried out to monitor staff performance.
  - Published: 2023-05-10
- Finding
  - Evidence: Staff worked in partnership with district nurses, a local hospice and GPs when required.
  - Published: 2023-05-10
- Finding
  - Evidence: Staff felt well supported by the registered manager, describing an open-door policy.
  - Published: 2023-05-10
- Finding
  - Evidence: A system was in place to record, investigate and monitor accidents and incidents.
  - Published: 2023-05-10
- Finding
  - Evidence: Infection control was appropriately managed and staff had sufficient PPE available.
  - Published: 2023-05-10
- Finding
  - Evidence: Staff had received safeguarding training and knew how to report allegations of abuse.
  - Published: 2023-05-10
- Finding
  - Evidence: People told us they felt safe using the service and appropriate safeguarding systems were in place.
  - Published: 2023-05-10
- **leadership** _(critical)_
  - Evidence: The registered manager did not have an adequate understanding of their role, regulatory requirements and lacked oversight of the service.
  - Published: 2023-05-10
- **communication_with_families** _(moderate)_
  - Evidence: Some people and relatives also said that they did not know who the registered manager was. A relative said, 'I don't know the manager. I tried to speak to the office... They don't answer the phone.'
  - Published: 2023-05-10
- **incident_learning** _(moderate)_
  - Evidence: Where medicine audits did identify shortfalls, records showed that follow up actions were not documented.
  - Published: 2023-05-10
- **record_keeping** _(critical)_
  - Evidence: Application forms were not always completed fully, and the provider had failed to obtain each applicant's complete and accurate employment and education histories.
  - Published: 2023-05-10
- **governance** _(critical)_
  - Evidence: The provider had failed to carry out regular audits to identify issues. There were no audits carried out for care plans, the ECM system or for staff files.
  - Published: 2023-05-10
- **staffing_levels** _(moderate)_
  - Evidence: Only 73 per cent of calls were on time and 9 per cent of calls were more 45 minutes late. 18 per cent of calls were short and staff did not stay for the duration of the call.
  - Published: 2023-05-10
- **staff_competency** _(moderate)_
  - Evidence: Regular medicine competency assessments were not carried out to ensure staff had the skills to administer medicines safely.
  - Published: 2023-05-10
- **medication_management** _(critical)_
  - Evidence: People who were prescribed PRN medicines did not have a PRN protocol in place with clear guidance for staff on how or when to administer medicines to them.
  - Published: 2023-05-10
- **care_planning** _(critical)_
  - Evidence: Risk assessments and risk management plans were not always in place. Risks to people such as those associated with falls, and medicines had either not been assessed adequately.
  - Published: 2023-05-10

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-05-10
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-05-10
- Finding
  - Staffing and recruitment
  - Published: 2023-05-10
- Finding
  - Using medicines safely
  - Published: 2023-05-10
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-05-10

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-05-10
- Finding
  - Promoting a positive culture; engaging and involving people and staff
  - Published: 2023-05-10
- Finding
  - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements
  - Published: 2023-05-10
- Finding
  - Engaging and involving people, the public and staff; working in partnership
  - Published: 2022-07-27
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-07-27
- Finding
  - Managers and staff being clear about their roles; duty of candour
  - Published: 2022-07-27
- Finding
  - Continuous learning and improving care
  - 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/1-865267331

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