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

ReadyCQC

criticalMedication management: “staff did not update a person's MAR when their doses of a blood thinning medicine Warfarin had changed, meaning the person could have been given the wrong dose”
criticalStaffing levels: “in the week of 1 November to 7 November 2021, staff were not always available on duty to meet people's assessed needs. The rota showed for 34 ½ hours where staff were working alone.”
criticalPerson-centred care: “guidance provided for staff in people's records was inaccurate, which may have put people at risk of receiving inappropriate care.”
criticalConsent / capacity: “Records showed a person was restricted from leaving the service on their own. The person's care records had no mental capacity assessments and Best Interests meetings outcome documents.”
criticalGovernance: “The provider undertook some audits; however, these did not find the concerns we found with poor medicines management, people's social needs not always being fully met, inconsistent staffing levels”
criticalIncident learning: “We were made aware of two incidents in September 2021 where the police were involved. However, CQC were not informed of this”
moderateMedication management: “Some of these MARs were not signed by staff or an appropriate code used when medicines were not given.”
moderateCare planning: “we found people's records were not always updated on the new computerised system and people's care files contained the previous provider's care documents.”
moderateRecord keeping: “the medicines administration records were of a poor quality and not completed accurately.”
moderateLeadership: “The registered manager had a lack of oversight of the service including the ineffective monitoring of the service.”
moderateCommunication with families: “records we viewed did not show any consistent involvement of people or their relatives in their care plan reviews.”
moderateStaff training: “A staff member said they had completed a one-day training in Makaton... During our visit we did not see staff use this form of communicating with anyone who had these specific communication needs.”
minorCultural competency: “We found care records did not routinely include people's protected characteristics and how they impacted people's life, health and well-being.”

Domiciliary Services

Inspection reports (3)