# Freesprings Ltd

*Operated by Freesprings Limited.*

Freesprings Ltd is a CQC-regulated home-care agency in Waltham Cross.

## CQC Ratings

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

Rating published: 07/12/2022

## Practical info

- Postcode: EN8 7NY
- Registered manager: Tackie, Emmanuel
- Local authority: Hertfordshire
- Region: East
- City: Waltham Cross
- Last CQC check: 07/Dec/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in making decisions; respecting privacy, dignity and independence
  - Published: 2022-12-07
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2022-12-07

### effective

- Finding
  - Staff working with other agencies; supporting people to live healthier lives
  - Published: 2022-12-07
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-12-07
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-12-07
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2022-12-07

### Other

- Finding
  - Evidence: An external professional confirmed care delivered was appropriate and the family reported a positive relationship between the person and the care worker.
  - Published: 2022-12-07
- Finding
  - Evidence: Staff received infection control training and had access to PPE; relatives confirmed staff wore face masks when providing care.
  - Published: 2022-12-07
- Finding
  - Evidence: The registered manager was open and honest throughout the inspection, acknowledged shortfalls and developed an action plan after the visit.
  - Published: 2022-12-07
- Finding
  - Evidence: A robust recruitment process included criminal record checks and references before staff started working with people.
  - Published: 2022-12-07
- Finding
  - Evidence: The service had enough staff to meet the person's needs; a relative confirmed staff were always punctual and had never missed a care call.
  - Published: 2022-12-07
- Finding
  - Evidence: Staff provided kind and compassionate care; relatives described staff as polite, courteous and respectful to both the person and wider family.
  - Published: 2022-12-07
- **consent_capacity** _(moderate)_
  - Evidence: Staff and management had not received training in the Mental Capacity Act 2005.
  - Published: 2022-12-07
- **end_of_life_care** _(minor)_
  - Evidence: The registered manager acknowledged the concept of serious illness, death and dying had not been approached with people or recorded for staff to be aware of their wishes.
  - Published: 2022-12-07
- **person_centred_care** _(moderate)_
  - Evidence: The care and support provision did not always embrace people's preferences for choice of gender of the staff supporting them.
  - Published: 2022-12-07

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-12-07
- Finding
  - Supporting people to maintain relationships and follow interests
  - Published: 2022-12-07
- Finding
  - Meeting people's communication needs
  - Published: 2022-12-07
- Finding
  - End of life care and support
  - Published: 2022-12-07
- Finding
  - Planning personalised care to ensure people have choice and control
  - Published: 2022-12-07

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-12-07
- Finding
  - Using medicines safely
  - Published: 2022-12-07
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-12-07
- Finding
  - Preventing and controlling infection
  - Published: 2022-12-07
- Finding
  - Staffing and recruitment
  - Published: 2022-12-07
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-12-07

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-12-07
- Finding
  - Engaging and involving people, the public and staff
  - Published: 2022-12-07
- Finding
  - Duty of candour
  - Published: 2022-12-07
- Finding
  - Managers and staff being clear about roles; promoting a positive culture; continuous learning
  - Published: 2022-12-07

## 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/1-9068275076

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