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

criticalGovernance: “Audits of people's care plans, Medication Administration Records (MARs) and call times were not in place.”

criticalSafeguarding: “Safeguarding concerns were not always recorded when concerns had been raised. Systems and processes in place for the accurate recording of safeguarding concerns were not robust.”

moderateRecord keeping: “Care plans did not always contain enough detail on how to keep people safe.”

moderateMedication management: “Systems were not in place to audit medicines administration. This meant the provider could not identify concerns with missed or late medications.”

moderateConsent / capacity: “The provider did not have a good understanding of MCA and people's capacity...the provider had not completed their own capacity assessments.”

moderateCare planning: “Care plans were task focused, containing basic information around which tasks staff needed to complete for people. Desired outcomes of care...had not always been considered.”

moderatePerson-centred care: “People's protected characteristics, such as religion and sexual orientation had been included within the care plans, but no details of how to support people individually.”

minorSupervision / appraisal: “Staff supervisions had not yet started. Staff had only worked for the service for 2 or 3 months, as the service was new.”

minorComplaints handling: “The registered manager told us about concerns people had raised regarding their care, and how they had responded, but this had not been recorded.”

minorEnd-of-life care: “Care plans did not include information about people's end of life choices, or how they wished to be cared for.”

minorCommunication with families: “Communication aids such as glasses and hearing aids had not been specified in people's care plans.”

Graceage Care Colchester

Inspection reports (1)