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

Inspection report · 2022-12-14

Framework: KLOE · 15 pages · 89 KB · PDF

Requires improvement

safe: Requires improvementeffective: Requires improvementcaring: Goodresponsive: Goodwell-led: Requires improvement

Stockwellcare Support Services was rated Requires Improvement overall following an October 2022 inspection of this 55-person domiciliary care agency, with breaches of Regulation 12 (safe care and treatment) and Regulation 17 (good governance) identified. Key failings included inadequate and generic risk assessments, inconsistent PPE use, late care visits due to insufficient travel time scheduling, gaps in specialist staff training, and quality assurance audits that failed to identify the issues found at inspection.

Concerns (7)

criticalCare planning: “Risk management plans, to reduce the likelihood of risk occurrence required some improvement to ensure potential risks to people were clearly recorded.”
criticalGovernance: “Quality assurance audits were not as detailed as they could be. Furthermore, they had not identified the areas of improvement we found.”
moderateInfection control: “We received comments that staff did not always wear masks when they were supporting people. We could not be assured that staff always understood their responsibilities in wearing PPE.”
moderateMissed or late visits: “Staff were not always scheduled enough time to travel between care calls. One staff was scheduled no travel time between two lunchtime calls on one day.”
moderateStaff training: “Staff did not always receive sufficient training to ensure they met people's needs. Specialist training such as diabetes was not recorded as a provider training requirement.”
minorPerson-centred care: “People and their relatives were not always involved in the development of their care plan. One relative told us, 'The care plan doesn't tell you much about my relative.'”
minorRecord keeping: “Staff files did not always include a full employment history or evidence of qualifications.”

Strengths

· People and relatives confirmed they felt safe using the service and staff had a clear understanding of safeguarding responsibilities.
· Medicines were administered in line with prescribing GP guidance, records were accurate with no gaps or omissions, and staff competencies were assessed frequently.
· People were treated with kindness, compassion and respect; cultural and faith needs were documented in care plans.
· Staff received regular one-to-one supervisions and felt well supported by the management team.
· People's communication needs were met and an Accessible Information Standard policy was in place.

Quality-Statement breakdown (21)

safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Preventing and controlling infectionRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentRequires improvement
safe: Using medicines safelyGood
safe: Learning lessons when things go wrongRequires improvement
effective: Staff support: induction, training, skills and experienceRequires improvement
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the law

Inspection reports (5)