- Homecare service
South Norfolk Carers Limited
We served a Notice of Decision imposing conditions on the registration of South Norfolk Carers Limited on 14 January 2025 for failure to comply with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to safe care and treatment, staffing, person-centered care, receiving and acting on complaints, the need for consent and governance at South Norfolk Carers Limited.
Registration details
The location ID for South Norfolk Carers Limited is 1-1061513188. CQC register South Norfolk Carers Limited to carry out these legally regulated activities. Contact us if you think South Norfolk Carers Limited is operating services not listed here.
Type of service
- Homecare agencies
Service specialism
- Caring for adults over 65 yrs
- Caring for adults under 65 yrs
- Dementia
- Physical disabilities
- Sensory impairments
Local authority
Norfolk
Monitored services
CQC register South Norfolk Carers Limited to carry out the following legally regulated services here:
Personal care
Mrs Helen Gidlow is responsible for these services.
Terms of this registration relating to carrying out this regulated activity
The registered provider must within 10 days of this condition taking effect, and then on the first Monday of every month, undertake quality assurance audits at South Norfolk Carers Limited, Amelia House, Norwich Road, Brooke, Norwich, Norfolk NR15 1HJ. You must then submit to us on the second Monday of every month a report of the findings of those audits. The report must include associated timescales for completing action points identified from the audits and indicate who will be responsible for ensuring the improvements are made in respect of the following:
All medicines administration and management practices against best practice guidance to include the management of errors, protocols for specialist medicines and specialist application record charts.
The registered provider must within 10 days of this condition taking effect, and then on the first Monday of every month, undertake quality assurance audits at South Norfolk Carers Limited, Amelia House, Norwich Road, Brooke, Norwich, Norfolk NR15 1HJ. You must then submit to us on the second Monday of every month a report of the findings of those audits. The report must include associated timescales for completing action points identified from the audits and indicate who will be responsible for ensuring the improvements are made in respect of the following:
Risk management to include assessing the individual risks to each service user and ensuring appropriate risk assessment tools are in place with effective mitigating measures recorded. Audit is to include ensuring the staff who are completing the risk assessments are trained and competent to do so.
The registered provider must within 10 days of this condition taking effect, and then on the first Monday of every month, undertake quality assurance audits at South Norfolk Carers Limited, Amelia House, Norwich Road, Brooke, Norwich, Norfolk NR15 1HJ. You must then submit to us on the second Monday of every month a report of the findings of those audits. The report must include associated timescales for completing action points identified from the audits and indicate who will be responsible for ensuring the improvements are made in respect of the following:
Evidence that an effective and accessible system has been implemented to identify, manage, respond to, and rectify complaints and concerns raised by any party. This is to include evidence of what action was taken in response, by whom, when and what the outcome was.
The registered provider must within 10 days of this condition taking effect, and then on the first Monday of every month, undertake quality assurance audits at South Norfolk Carers Limited, Amelia House, Norwich Road, Brooke, Norwich, Norfolk NR15 1HJ. You must then submit to us on the second Monday of every month a report of the findings of those audits. The report must include associated timescales for completing action points identified from the audits and indicate who will be responsible for ensuring the improvements are made in respect of the following:
Adherence to the Mental Capacity Act 2005 to include ensuring lawful consent is in place for care and treatment and that capacity assessments and best interest decisions are in place as assessed as being required.
The registered provider must within 10 days of this condition taking effect, and then on the first Monday of every month, undertake quality assurance audits at South Norfolk Carers Limited, Amelia House, Norwich Road, Brooke, Norwich, Norfolk NR15 1HJ. You must then submit to us on the second Monday of every month a report of the findings of those audits. The report must include associated timescales for completing action points identified from the audits and indicate who will be responsible for ensuring the improvements are made in respect of the following:
Evidence you have deployed enough suitably qualified, competent, skilled and experienced staff to meet people's needs. This needs to include in relation to staff training, competency checks, supervisions, appraisals and spot checks.
The registered provider must within 10 days of this condition taking effect, and then on the first Monday of every month, undertake quality assurance audits at South Norfolk Carers Limited, Amelia House, Norwich Road, Brooke, Norwich, Norfolk NR15 1HJ. You must then submit to us on the second Monday of every month a report of the findings of those audits. The report must include associated timescales for completing action points identified from the audits and indicate who will be responsible for ensuring the improvements are made in respect of the following:
Ensuring people receive care and support at times previously agreed with them and from a dedicated group of staff who know their needs, risks, preferences, and routines.
The registered provider must within 10 days of this condition taking effect, and then on the first Monday of every month, undertake quality assurance audits at South Norfolk Carers Limited, Amelia House, Norwich Road, Brooke, Norwich, Norfolk NR15 1HJ. You must then submit to us on the second Monday of every month a report of the findings of those audits. The report must include associated timescales for completing action points identified from the audits and indicate who will be responsible for ensuring the improvements are made in respect of the following:
Completion of audits of service users' care records to ensure they have person-centered and individualised care plans in place that holistically meets all their needs and provides staff with information to support those identified needs.
The registered provider must within 10 days of this condition taking effect, and then on the first Monday of every month, undertake quality assurance audits at South Norfolk Carers Limited, Amelia House, Norwich Road, Brooke, Norwich, Norfolk NR15 1HJ. You must then submit to us on the second Monday of every month a report of the findings of those audits. The report must include associated timescales for completing action points identified from the audits and indicate who will be responsible for ensuring the improvements are made in respect of the following:
Evidence that records are accurate, complete and contemporaneous in respect of each service user.
The registered provider must within 10 days of this condition taking effect, and then on the first Monday of every month, undertake quality assurance audits at South Norfolk Carers Limited, Amelia House, Norwich Road, Brooke, Norwich, Norfolk NR15 1HJ. You must then submit to us on the second Monday of every month a report of the findings of those audits. The report must include associated timescales for completing action points identified from the audits and indicate who will be responsible for ensuring the improvements are made in respect of the following:
Evidence that there is regular provider audits in place to assess, monitor and drive improvement and ensure the service being delivered is based on best practice guidance.