Date of Assessment: 25 June to 07 July 2025. Graceful Care - Wandsworth is a domiciliary care agency registered with the Care Quality Commission (CQC) to provide personal care and support to people living in their own homes. At the time of this assessment 89 people were receiving a home care service from this provider. The CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. We undertook this inspection because at the previous inspection, we received mixed feedback about staff timings and attendance to calls. The electronic system used to monitor staff attendance on their calls did not always work as intended and office staff had to manually log visits. At this assessment, we reviewed all 15 quality statements related to the 2 key questions, Is the service safe and well-led? For those key questions not inspected, we used the ratings awarded at their last inspection to calculate the overall rating. Based on the findings of this inspection we continue to rate the service good overall. The electronic call monitoring system was now established and working well. Care visits were being carried out in line with the rotas and governance systems were in place to ensure that the visits were being monitored and any discrepancies were followed up. People using the service and their relatives told us they felt safe in the presence of care workers. Staff understood and managed risks well, including those in relation to people’s home environment. There were enough staff employed with the right skills, qualifications and experience. Staff recruitment practices were safe. Staff were supported and received appropriate training which met the needs of people using the service. People received their medicines safely and as prescribed. There were clear management structures in place which helped to ensure the smooth running of the service. Managers and staff had a shared vision and culture based on privacy, dignity and respect and meeting people’s individual needs. Staff felt supported in their roles and were treated equally and fairly. There was a positive culture of learning and improvement within the service. The service had good governance process in place to monitor the quality of service including investigating accidents and incidents. Managers and staff worked closely with external community health and social care professionals and bodies.
PDF cached but not yet analysed by Claude; set ANTHROPIC_API_KEY and re-run npm run etl:reports -- --location 1-6539170371.
Graceful Care - Wandsworth was rated Good overall at its first inspection, with Safe rated Requires Improvement due to issues with staff punctuality and an unreliable Electronic Call Monitoring system requiring manual logging. People reported kind, person-centred care with strengths in medicines management, safeguarding, end of life care and well-led governance, despite the recommendation to review staffing deployment.
Concerns (4)
moderateMissed or late visits: “We received mixed feedback about staff's punctuality to calls. Comments from people included, "They're not punctual"... "I'm not happy with the timekeeping"; "I call them the hit and misses"”
moderateStaffing levels: “We found a number of calls were not always allocated travel time which led to some delays... We recommend the provider review their staffing allocations or their deployment of staff and update their practices.”
moderateGovernance: “the ECM used to monitor punctuality of care visits was not effective and there were periods of call loggings which were done manually.”
moderateRecord keeping: “The ECM was not consistently and accurately used to highlight any missed visits, unlogged entries, incomplete visits or double up calls provided by a single carer.”
Strengths
· Safe recruitment checks ensured suitable staff were employed
· People supported to take medicines safely with audits and competency assessments
· Staff trained in safeguarding and knew how to identify and report abuse
· Effective infection prevention and control practices including PPE use
· Kind, caring staff who developed consistent relationships with people
Quality-Statement breakdown (23)
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experience
Not rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated