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We (Always) Care Under One Roof Limited

Type Social Care Org Region North West Last inspected 26 Aug 2022

Archived This service was archived (deregistered) by CQC on 19 Dec 2022. The ratings below are historical and do not reflect a current service.

Location rating: Inadequate  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location, last inspected 26 August 2022. Ratings extracted from individual reports are shown separately below.

Safe
Inadequate
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Inadequate

Most recent report indexed for actions

The date and rating here are from an individual report, not necessarily the location's latest assessment. Report ratings are extracted with AI; verify the original PDF.

Type: Comprehensive inspection
Date: 26 August 2022
Rating extracted from this report: Inadequate
Actions indexed: 5 must-do

Read this inspection PDF

AI-extracted 17 Feb 2026

Earlier inspection findings

pre-2024 framework · 5 must-do

Must-do actions (5)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 5
Must do
Safe
The provider must ensure that recruitment procedures are established and operated effectively.
Regulation: Regulation 19 (Fit and proper persons employed)
⚠ Recruitment procedures were not always safe and staff files reviewed were not complete. DBS (Disclosure and Barring Service) checks were not always carried out and in place before staff commenced working with people using the service. The provider had not ensured a risk assessment was carried out where DBS disclosure …
Must-do action 2 of 5
Must do
Safe
The provider must ensure sufficient staff are deployed.
Regulation: Regulation 18 (Staffing)
⚠ Prior to the inspection we received concerns that calls requiring two staff were being attended by only one staff as there were not enough staff available. Staffing numbers meant family members were often relied upon to support staff during visits and this was observed by the inspection team on three …
Must-do action 3 of 5
Must do
Safe
The provider must ensure that care and treatment is provided in a safe way.
Regulation: Regulation 12 (Safe care and treatment)
⚠ People's individual risks had not been assessed and there was no risk management plan in place to direct staff with the guidance needed to ensure the care provided was safe. For example, when people experienced swallowing difficulties or required repositioning after eating or drinking and with regard to the use …
Must-do action 4 of 5
Must do
Effective
The provider must ensure staff are suitably qualified, competent and supervised.
Regulation: Regulation 18 (Staffing)
⚠ During the inspection we found the provider had not ensured staff had received appropriate induction, training or support by way of regular supervision sessions. There were no induction records for the staff files reviewed and the provider was unable to provide any when requested. The provider had successfully completed a …
Must-do action 5 of 5
Must do
Well-led
The provider must ensure quality assurance systems are established and operated effectively to assess, monitor and improve the quality and safety of the service.
Regulation: Regulation 17 (Good governance)
⚠ Systems to assess and monitor the quality of the service were not established or operated effectively to have identified and addressed the concerns noted during this inspection. This included the lack of: COVID-19 testing; safe recruitment procedures; staff training, induction and supervision and shortfalls in care plans and/or risk assessments. …