# Axiom Home Care Limited

Axiom Home Care Limited is a CQC-regulated home-care agency in Hemel Hempstead.

## CQC Ratings

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

Rating published: 04/08/2023

## Practical info

- Postcode: HP1 3AF
- Registered manager: Antony, Brinto
- Local authority: Hertfordshire
- Region: East
- City: Hemel Hempstead
- Last CQC check: 04/Aug/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2023-09-06
- Finding
  - Respecting and promoting people's privacy, dignity, and independence
  - Published: 2023-09-06

### effective

- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2023-09-06
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-09-06
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-09-06
- Finding
  - Staff support: induction, training, skills, and experience
  - Published: 2023-09-06

### Other

- Finding
  - Evidence: Safe recruitment practices were in place with all pre-employment checks completed.
  - Published: 2023-09-06
- Finding
  - Evidence: Complaints were investigated and responded to, with people confident concerns would be managed promptly.
  - Published: 2023-09-06
- Finding
  - Evidence: People and relatives reported warm, meaningful relationships with staff and spoke positively about the caring approach.
  - Published: 2023-09-06
- Finding
  - Evidence: Registered manager was open, responsive and took immediate remedial action when issues were identified during inspection.
  - Published: 2023-09-06
- Finding
  - Evidence: Staff worked effectively with other healthcare professionals, referring people to GPs and district nursing teams when needed.
  - Published: 2023-09-06
- Finding
  - Evidence: Staff wore PPE appropriately and infection control measures were in place.
  - Published: 2023-09-06
- Finding
  - Evidence: People felt safe with the care provided and staff were kind, respectful and promoted independence.
  - Published: 2023-09-06
- **staff_competency** _(critical)_
  - Evidence: Staff had completed online medicines awareness training and administered medicines without the required higher-level administration, management of medicines and competency assessment.
  - Published: 2023-09-06
- **record_keeping** _(critical)_
  - Evidence: Records were not completed accurately or well maintained...Medicine records were not updated which meant the provider could not be assured people received their medicines.
  - Published: 2023-09-06
- **communication_with_families** _(minor)_
  - Evidence: I was complaining that they hadn't told me they had contacted my GP on my behalf. I felt a fool when the surgery rang me, and I didn't know.
  - Published: 2023-09-06
- **missed_or_late_visits** _(minor)_
  - Evidence: Time keeping varies, sometimes too early or late. No one lets us know they are late.
  - Published: 2023-09-06
- **incident_learning** _(moderate)_
  - Evidence: Staff entered incidents into the daily log, and not a separate report, meaning these were at times delayed in being picked up.
  - Published: 2023-09-06
- **person_centred_care** _(moderate)_
  - Evidence: Care plans lacked detail describing how personalised care and support plan based on what matters to people, their preferred outcomes and how they will be achieved.
  - Published: 2023-09-06

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-09-06
- Finding
  - End of life care and support
  - Published: 2023-09-06
- Finding
  - Planning personalised care to ensure people have choice and control
  - Published: 2023-09-06

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-09-06
- Finding
  - Staffing and recruitment
  - Published: 2023-09-06
- Finding
  - Systems and processes to safeguard people from abuse; Lessons learned
  - Published: 2023-09-06
- Finding
  - Using medicines safely
  - Published: 2023-09-06
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-09-06

### well_led

- Finding
  - How the provider understands and acts on the duty of candour; Working in partnership with others
  - Published: 2023-09-06
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-09-06
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-09-06

## 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/1-9888754259

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