# Eleanor Nursing and Social Care Ltd - Dorchester Office

*Operated by Eleanor Nursing and Social Care Limited.*

Eleanor Nursing and Social Care Ltd - Dorchester Office is a CQC-regulated home-care agency in Dorchester.

## CQC Ratings

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

Rating published: 11/02/2023

## Practical info

- Postcode: DT1 3BN
- Registered manager: Leone, Viktorija
- Local authority: Dorset
- Region: South West
- City: Dorchester
- Last CQC check: 11/Feb/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: At time of inspection, sufficient staff were in place and a weekly rota with names and times provided to families.
  - Published: 2023-04-05
- Finding
  - Evidence: Professionals reported positive working relationships with the new management team and praised their responsiveness.
  - Published: 2023-04-05
- Finding
  - Evidence: New senior team developed a robust action plan and implemented monitoring systems including audits and quality assurance.
  - Published: 2023-04-05
- Finding
  - Evidence: Staff understood infection prevention and control procedures, including appropriate use of PPE.
  - Published: 2023-04-05
- Finding
  - Evidence: Medicines administration training and competency assessments were in place; senior team audited medicines promptly.
  - Published: 2023-04-05
- Finding
  - Evidence: Staff received safeguarding training and demonstrated confidence in recognising and reporting concerns.
  - Published: 2023-04-05
- Finding
  - Evidence: Provider kept CQC informed throughout, with transparent communication about actions taken and their impact.
  - Published: 2023-04-05
- Finding
  - Evidence: Provider worked proactively with the local authority to manage the staffing crisis and reduce risks to people.
  - Published: 2023-04-05
- **communication_with_families** _(moderate)_
  - Evidence: People and relatives were unsettled by this change and we heard numerous comments such as 'I have no idea who the manager is, I have heard lots of changes.'
  - Published: 2023-04-05
- **person_centred_care** _(minor)_
  - Evidence: One person told us, 'I have never been asked for feedback from old or new management.'
  - Published: 2023-04-05
- **care_planning** _(moderate)_
  - Evidence: The transfer to the new electronic record had not been clear for a person and this meant their medicines had not been checked.
  - Published: 2023-04-05
- **record_keeping** _(moderate)_
  - Evidence: Care documentation was not always detailed...these omissions increased the risk of errors being made by staff.
  - Published: 2023-04-05
- **leadership** _(moderate)_
  - Evidence: A temporary manager had been put in post...then a permanent manager was appointed who did not stay in post. A new manager had been appointed the week before the inspection.
  - Published: 2023-04-05
- **governance** _(moderate)_
  - Evidence: Work to transfer people's care documentation to the provider's new system had not happened effectively...new managers were not always accessing the most up to date information easily.
  - Published: 2023-04-05
- **staffing_levels** _(critical)_
  - Evidence: A large proportion of staff, including the registered manager and staff responsible for coordinating people's care, had left the organisation.
  - Published: 2023-04-05
- **missed_or_late_visits** _(critical)_
  - Evidence: During the weeks immediately following this significant event there were not enough staff to meet people's needs and care visits were missed.
  - Published: 2023-04-05

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-04-05
- Finding
  - Preventing and controlling infection
  - Published: 2023-04-05
- Finding
  - Using medicines safely
  - Published: 2023-04-05
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-04-05
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-04-05
- Finding
  - Staffing and recruitment
  - Published: 2023-04-05

### well_led

- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-04-05
- Finding
  - Working in partnership with others
  - Published: 2023-04-05
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-04-05
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements
  - Published: 2023-04-05

## 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/1-9676508910

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