Agency profile · CQC 1-2961808226

Leicester

Provider

3 Star Health Care Limited

Leicester · East Midlands · Active since 01/1

Requires improvementHome-care★ Owner-managed (director & PSC)RM: Ncube, Nomusa

Overall rating

Requires improvement

safeRequires improvement

effectiveGood

caringGood

responsiveGood

well-ledRequires improvement

Last inspection

2 years ago

09/Jun/2023 - 00:00

Inspected 2 years ago

Inspection reports (4)

criticalCare planning: “Care plans were not always kept up to date and contain sufficient up to date guidance for staff to follow to keep people safe.”
criticalGovernance: “The provider's oversight systems and processes were not effectively used to monitor the quality of service being provided and to drive improvements.”
criticalRecord keeping: “A body map detailed the different sites where the skin damage had occurred, but these were not dated nor detailed any follow-up actions.”
moderateIncident learning: “Accidents and incidents were analysed individually, however there was limited oversight to identify any trends.”
moderateStaff training: “The training matrix highlighted where staff training was due to expire or had expired. Training was booked for some staff but not all.”
moderateMedication management: “Staff had recorded medicines were prompted despite no reference made in the care plan.”
minorPerson-centred care: “A person's religion and culture was not accurately reflected. This was raised with the registered manager and they agreed to follow this up.”

Strengths

· People told us they felt safe with the staff and the care provided.
· Staff were recruited safely with criminal record checks, identity and right to work checks completed.
· Staff were knowledgeable in safeguarding procedures and aware of how to escalate concerns.
· People were supported with their medicines safely and staff had medication training with competency assessed.
· Infection prevention and control practice was followed by staff, including correct use of PPE.

Quality-Statement breakdown (11)

safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Using medicines safelyRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongRequires improvement
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Working in partnership with othersGood

10 pages · 77 KB · PDF

PDF cached but not yet analysed by Claude; set ANTHROPIC_API_KEY and re-run npm run etl:reports -- --location 1-2961808226.

18 pages · 80 KB · PDF

PDF cached but not yet analysed by Claude; set ANTHROPIC_API_KEY and re-run npm run etl:reports -- --location 1-2961808226.

15 pages · 78 KB · PDF

PDF cached but not yet analysed by Claude; set ANTHROPIC_API_KEY and re-run npm run etl:reports -- --location 1-2961808226.