# Immaculate Care Limited

Immaculate Care Limited is a CQC-regulated home-care agency in Hounslow.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Not Rated |
| Safe | Not Rated |
| Effective | Not Rated |
| Caring | Not Rated |
| Responsive | Not Rated |
| Well-led | Not Rated |

## Practical info

- Postcode: TW4 6JQ
- Registered manager: Odukoya, Christy
- Local authority: Hounslow
- Region: London
- City: Hounslow
- Last CQC check: 19/Jul/2024 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2024-05-16
- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2024-05-16
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2024-05-16

### effective

- Finding
  - Supporting people to live healthier lives, access healthcare services and support
  - Published: 2024-05-16
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2024-05-16
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2024-05-16
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2024-05-16
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2024-05-16

### Other

- Finding
  - Evidence: People and relatives had access to healthcare professionals and were informed of health concerns promptly.
  - Published: 2024-05-16
- Finding
  - Evidence: Provider and registered manager no longer carry out care visits, having recruited enough staff.
  - Published: 2024-05-16
- Finding
  - Evidence: Electronic call monitoring system used to monitor visit times in real time.
  - Published: 2024-05-16
- Finding
  - Evidence: Staff demonstrated understanding of safeguarding and PPE use; infection control training completed.
  - Published: 2024-05-16
- Finding
  - Evidence: People felt safe and reported staff were kind, caring and respectful, maintaining dignity and promoting independence.
  - Published: 2024-05-16
- Finding
  - Evidence: Staffing levels improved with adequate travel time between visits and sufficient staff; no missed double-up visits identified at this inspection.
  - Published: 2024-05-16
- **incident_learning** _(moderate)_
  - Evidence: Checks carried out on the records completed by staff did not always clearly show important information had been escalated to senior staff or the person's relatives.
  - Published: 2024-05-16
- **person_centred_care** _(moderate)_
  - Evidence: People's care plans did not always include information on the person's communication support needs and how staff could assist them.
  - Published: 2024-05-16
- **communication_with_families** _(minor)_
  - Evidence: People and relatives informed us they were rarely, if ever, informed if the staff member was running late for a visit.
  - Published: 2024-05-16
- **record_keeping** _(moderate)_
  - Evidence: Care records did not include enough detail about people's care needs and associated risks and were not always up to date.
  - Published: 2024-05-16
- **governance** _(critical)_
  - Evidence: The provider's quality assurance systems were not operated effectively as they were still in breach of the regulation and Warning Notice.
  - Published: 2024-05-16

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2024-05-16
- Finding
  - Meeting people's communication needs
  - Published: 2024-05-16
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2024-05-16

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2024-05-16
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2024-05-16
- Finding
  - Staffing and recruitment
  - Published: 2024-05-16
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2024-05-16
- Finding
  - Using medicines safely
  - Published: 2024-05-16

### well_led

- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2024-05-16
- Finding
  - Continuous learning and improving care
  - Published: 2024-05-16
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2024-05-16

## 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/1-9861340170

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