# Careinmyhome West Essex

*Operated by Careinmyhome Ltd.*

Careinmyhome West Essex is a CQC-regulated home-care agency in Epping.

## CQC Ratings

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

Rating published: 14/12/2022

## Practical info

- Postcode: CM16 6QB
- Local authority: Essex
- Region: East
- City: Epping
- Last CQC check: 14/Dec/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2021-07-10
- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2021-07-10
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2021-07-10

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2021-07-10
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2021-07-10

### Other

- Finding
  - Evidence: Acting manager sent weekly staff emails with updates and showed appreciation for staff
  - Published: 2022-12-14
- Finding
  - Evidence: Staff had received MCA training and people's capacity was assessed and recorded
  - Published: 2022-12-14
- Finding
  - Evidence: Acting manager was responsive and accessible by phone, email and messaging app
  - Published: 2022-12-14
- Finding
  - Evidence: People tended to have consistent, familiar carers
  - Published: 2022-12-14
- Finding
  - Evidence: Staff had received safeguarding training and could describe how to raise concerns
  - Published: 2022-12-14
- Finding
  - Evidence: Staff were provided with appropriate PPE and had received infection prevention and control training
  - Published: 2022-12-14
- Finding
  - Evidence: People felt safe and were happy with the care provided
  - Published: 2022-12-14
- Finding
  - Evidence: Staff had good understanding of people's needs despite care plans lacking detail
  - Published: 2022-12-14
- **missed_or_late_visits** _(minor)_
  - Evidence: Another said, "I would like to be informed if they are going to be very late or cancel a visit." Another said, "They just need to sort their timing out then they'll be alright."
  - Published: 2022-12-14
- **leadership** _(moderate)_
  - Evidence: The registered manager had left in August 2022... the service continued to be managed on a temporary basis and there was no registered manager application yet in progress.
  - Published: 2022-12-14
- **supervision_appraisal** _(minor)_
  - Evidence: The list we saw to monitor these was not robust; it was unclear who was due what and when. The competency assessments included numerous prompts to check, but there was no space for narrative.
  - Published: 2022-12-14
- **medication_management** _(moderate)_
  - Evidence: Not all staff had received up to date training and competency assessments in medicines.
  - Published: 2022-12-14
- **care_planning** _(moderate)_
  - Evidence: People's care plans were not always clear and detailed... assessments had been completed as prompted by the electronic system when not relevant.
  - Published: 2022-12-14
- **record_keeping** _(moderate)_
  - Evidence: One person's file said they had PRN medicines but it did not say what it was or where it was kept. Another person's file said they had no PRN medication, but there were two PRN medications on their MAR chart.
  - Published: 2022-12-14
- **staff_competency** _(critical)_
  - Evidence: Some staff had started work prior to receipt of sufficient references. There was no risk assessment for staff with an entry on their DBS.
  - Published: 2022-12-14
- **governance** _(critical)_
  - Evidence: Breach of regulation 17 (good governance). Governance and performance management was not always reliable and effective. Some records contained conflicting or unclear information.
  - Published: 2022-12-14
- **staffing_levels** _(moderate)_
  - Evidence: Staff were concerned there was not enough staff to cover absence. One said "I worry if I can't cover who will. I try to help where I can."
  - Published: 2022-12-14

### responsive

- Finding
  - End of life care and support
  - Published: 2021-07-10
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2021-07-10
- Finding
  - Meeting people's communication needs
  - Published: 2021-07-10
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2021-07-10

### well_led

- Finding
  - Working in partnership with others
  - Published: 2021-07-10
- Finding
  - Engaging and involving people using the service, the public and staff; continuous learning and improving care
  - Published: 2021-07-10
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2021-07-10
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2021-07-10

## 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/1-9823803175

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