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

ReadyCQC

criticalStaffing levels: “The provider had failed to ensure there were sufficient levels of staff, and that staff are effectively deployed. This was a breach of Regulation 18.”
criticalMissed or late visits: “People often did not receive their calls at the agreed times and calls could take place hours later than planned.”
criticalMedication management: “The provider had failed to ensure the proper and safe management of medicines. This was a breach of Regulation 12.”
criticalSafeguarding: “The provider had failed to establish effective systems to prevent abuse, and to effectively respond to any allegation or evidence of abuse. Breach of Regulation 13.”
criticalGovernance: “The provider had failed to implement effective systems to assess, monitor and improve the quality and safety of the service. Breach of Regulation 17.”
criticalComplaints handling: “The provider did not have effective systems to make sure all complaints were investigated without delay...This was a breach of Regulation 16.”
moderateCare planning: “People's care records lacked enough guidance and information about their individual support needs, for example, diabetes and dementia care.”
moderateStaff training: “The current available training matrix showed gaps in core areas such as the Mental Capacity Act, moving and handling and medicines support.”
moderateSupervision / appraisal: “Managers told us that planned regular supervisions and spot checks had lapsed in recent months.”
moderateRecord keeping: “The provider failed to ensure records were accurately maintained. In October 2022, a person was prescribed thickener for their drinks...none of the relevant records reflected this change.”
moderateIncident learning: “Information of concern had not been effectively learned from or shared with relevant partners to continuously improve the safety of the service.”
moderateEnd-of-life care: “Managers told us two people were at end of life. Their records had not been updated to provide detail about any changes to the level of care required.”
moderatePerson-centred care: “Managers were trying to address concerns whereby the service had adapted to staff need and preference, rather than that of people using the service.”
minorConsent / capacity: “Staff did not demonstrate good understanding of the requirements of the MCA, though most staff could describe how they promoted people's choices.”

Solitaire Homecare Services Limited

Inspection reports (4)