ReadyCQC, a weekly field guide to CQC home-care regulation

ReadyCQC

criticalMedication management: “one medicine was prescribed twice a day, but records showed occasions when it had been given three times a day... there had been an error with one person's medicines, in which they had been given too much.”
criticalStaff competency: “Systems were not in place to ensure all staff recruited had the qualifications, competence, skills and experience necessary for their work. Regulation 19(1)(a)(b)(2)”
criticalGovernance: “Audits were taking place but not always identifying shortfalls in the service... including those related to risk management, care planning and the management of people's medicines.”
criticalConsent / capacity: “Assessments of a person's capacity to consent to restrictive practices such as bed rails, sensors and alarms had not been undertaken. Information did not show whether least restrictive options had been considered.”
criticalPerson-centred care: “Care planning did not always demonstrate people's needs and the support they required. This was a breach of regulation 9 of the Health and Social Care Act 2008.”
criticalIncident learning: “There had been an error with one person's medicines... Immediate action to ensure the person's well-being had not been taken and there had not been an investigation.”
moderateCare planning: “Care planning was often task orientated and did not reflect people's individual needs... the electronic care planning system in place prioritised tasks, rather than promoting personalised care.”
moderateRecord keeping: “Staff had not always fully completed the medicine administration records. This did not show whether people had received their medicines or not.”
moderateStaffing levels: “Records showed some staff were working excessive hours... One staff member worked 146 hours in a two-week period... These risks had not been considered.”
moderateSupervision / appraisal: “Records did not show staff had received regular meetings with their supervisor to discuss their performance or any concerns they might have. Formal supervision had slipped.”
moderateComplaints handling: “The provider's complaint procedure had not been followed in response to these concerns. The complaint had not been acknowledged or investigated and action had not been taken.”
moderateLeadership: “There was a lack of management oversight. The provider was not aware of the complaints which had been made, or that action had not been taken to address them.”
minorCommunication with families: “Sometimes there are communication problems. Some staff speak too quickly... Accents and wearing a face mask do not help.”

Grace 247 Care Wiltshire

Inspection reports (2)