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

criticalMedication management: “A patient had been without her glaucoma eye drops for 2 weeks, despite the fact that the staff had been signing the MAR chart saying it had been given.”

criticalCare planning: “The care plans for 4 people living with a learning disability did not contain any details about how this impacted them or what potential risks it presented to them or others.”

criticalStaff training: “Training records showed staff had not received specific learning disabilities, mental health needs or epilepsy training to support individuals effectively with their conditions.”

criticalGovernance: “The oversight and quality assurance processes had not identified the need for the development of some people's risk assessments.”

criticalStaff competency: “I had 2 staff members last year who didn't know how to use a hoist for another client. They told me that they were winging it and hadn't been trained to use it.”

moderatePerson-centred care: “Some care plans lacked detail about people's physical and mental conditions and what staff should do to support these responsively.”

moderateLeadership: “Many people and staff told us that they felt that the culture and approach of management had dropped and had not been as effective since the registered manager had been absent.”

moderateMissed or late visits: “I have such a variety of times that they come - this morning it was near 10am I was up all night, so I got myself up. I never know what time it's going to be.”

moderateInfection control: “They don't wash their hands before they touch any food of mine. They don't wash their hands enough.”

moderateRecord keeping: “We reviewed 4 people's MAR charts and identified a number of gaps where care assistants had failed to record whether a medicine had been administered or not.”

London Care (Lingfield Lodge)

Inspection reports (1)