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

ReadyCQC

criticalSafeguarding: “The manager did not have knowledge of how to refer a person at risk to out of hours services. They were unaware of the local and county-wide procedures.”
criticalSafeguarding: “There was a reference in a person's record to a safeguarding allegation. There was no documented fact finding, investigation report or referral to the local authority.”
criticalGovernance: “The provider had not established an effective system to enable them to ensure compliance with their legal obligations and the regulations. Breach of Regulation 17.”
criticalLeadership: “There was no registered manager in post at the time of the inspection. The provider had not complied with their conditions of registration.”
moderateCare planning: “When we examined the person's support plan, it had not been updated since 25 December 2021.”
moderateSupervision / appraisal: “Supervisions were previously completed for former staff, but the current care worker did not have regular supervisions documented. There were no performance appraisals completed.”
moderateRecord keeping: “The provider was unable to access the systems for a significant period. They did not update care and other records during this period. No retrospective entries were made.”
moderateIncident learning: “There was no evidence that lessons were learned from the incidents, that information was shared with the staff team, and that measures were in place to prevent recurrence.”
moderatePerson-centred care: “Likes, dislikes and preferences were not adequately detailed in the support plan. The person's needs and choices had not been updated in the support plan.”
minorConsent / capacity: “The manager was uncertain about how to check a person's lasting power of attorney, enduring power of attorney or Court of Protection orders.”
minorInfection control: “The manager had not reported mandatory data online about infection prevention and control. We had prompted the manager on more than one occasion to use the national tracking system.”

Quality-Statement breakdown (22)

safe: Systems and processes to safeguard people from the risk of abuseRequires improvement
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Staffing and recruitmentRequires improvement
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongRequires improvement
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawRequires improvement
effective: Staff support: induction, training, skills and experienceRequires improvement
effective: Supporting people to eat and drink enough to maintain a balanced dietRequires improvement
effective: Supporting people to live healthier lives, access healthcare services and supportRequires improvement
effective: Ensuring consent to care and treatment in line with law and guidanceRequires improvement
caring: Ensuring people are well treated and supported; respecting equality and diversityInsufficient evidence to rate
caring: Supporting people to express their views and be involved in making decisions about their careInsufficient evidence to rate
caring: Respecting and promoting people's privacy, dignity and independenceInsufficient evidence to rate
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesRequires improvement
responsive: Meeting people's communication needsRequires improvement
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringRequires improvement
well-led: How the provider understands and acts on the duty of candourRequires improvement
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Engaging and involving people using the service, the public and staffRequires improvement
well-led: Continuous learning and improving careRequires improvement

Nanny Care Services Ltd

Inspection reports (1)