# Naswell Care LTD

Naswell Care LTD is a CQC-regulated home-care agency in Gloucester.

## CQC Ratings

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

Rating published: 03/08/2023

## Practical info

- Postcode: GL1 5RZ
- Registered manager: Chyll, Marzena
- Local authority: Gloucestershire
- Region: South West
- City: Gloucester
- Last CQC check: 03/Aug/2023 - 00:00

## Inspection findings

### effective

- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-08-03
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-08-03
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2023-08-03
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-08-03
- Finding
  - Assessing people's needs and choices; supporting people to live healthier lives
  - Published: 2023-08-03

### Other

- Finding
  - Evidence: People confirmed they felt safe; safeguarding incidents were reported and escalated to appropriate agencies in a timely manner.
  - Published: 2023-08-03
- Finding
  - Evidence: Positive feedback from staff and people about the new manager's culture, responsiveness, and approachability.
  - Published: 2023-08-03
- Finding
  - Evidence: People were supported to have maximum choice and control; PBS plans identified strategies to help de-escalate anxieties.
  - Published: 2023-08-03
- Finding
  - Evidence: Staff worked closely with other professionals including social workers, GPs and occupational therapists to maintain people's well-being.
  - Published: 2023-08-03
- Finding
  - Evidence: A comprehensive incident reporting system was in place with actions recorded and changes made to care plans to reduce risk of repeat incidents.
  - Published: 2023-08-03
- Finding
  - Evidence: Safe recruitment practices were in place and disciplinary action was taken to address poor staff practices or conduct.
  - Published: 2023-08-03
- Finding
  - Evidence: People received their medicines as prescribed; staff completed medicines administration training and competency assessments.
  - Published: 2023-08-03
- Finding
  - Evidence: Risk management plans were completed, monitored, and kept under review; staff were aware of how to support people with their risks such as seizures and specialised diets.
  - Published: 2023-08-03
- **leadership** _(moderate)_
  - Evidence: At the time of our inspection there was no registered manager in post, however a new manager had been employed and supported this inspection.
  - Published: 2023-08-03
- **incident_learning** _(moderate)_
  - Evidence: Incident reports relating to the monitoring of people's behaviours and health such as patterns in people's seizures or emotions were reviewed and known by the managers. However, the records of their analysis of incident records had not been consistently maintained.
  - Published: 2023-08-03
- **care_planning** _(moderate)_
  - Evidence: details of people's routine appointments, any recommendations and next review dates were not always clearly documented. The manager acknowledged that further development was needed in this area.
  - Published: 2023-08-03
- **record_keeping** _(moderate)_
  - Evidence: the records of their analysis of incident records had not been consistently maintained.
  - Published: 2023-08-03
- **governance** _(moderate)_
  - Evidence: parts of the quality monitoring systems needed to be further developed to cover all areas of the service. For example, the provider's recruitment audits had not identified that health questionnaires had not been completed by all staff.
  - Published: 2023-08-03

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-08-03
- Finding
  - Preventing and controlling infection
  - Published: 2023-08-03
- Finding
  - Using medicines safely
  - Published: 2023-08-03
- Finding
  - Staffing and recruitment
  - Published: 2023-08-03
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-08-03
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-08-03

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-08-03
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-08-03
- Finding
  - How the provider understands and acts on the duty of candour; continuous learning and improving care
  - Published: 2023-08-03
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-08-03
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-08-03
- Finding
  - Working in partnership with others
  - Published: 2022-12-20

## 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/1-912115696

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