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

ReadyCQC

criticalMedication management: “a few people's medicines had been 'secondary dispensed' into multi-compartment aids, which had no pharmacy label... staff could not be assured of what they were administering”
criticalStaff training: “Moving and handling training did not consistently give staff the skills or knowledge they needed to keep people safe. One staff member told us they had physically lifted a person, using an underarm lift”
criticalGovernance: “This was a breach of regulation 17 (Good governance) of the Health and Social Care Act 2008... Some quality checks were in place and were recorded. However, these had not identified issues”
moderateMedication management: “MARs did not always list the medication name and / or dosage to be given... this was not in line with safe administration or the provider's own medication policy.”
moderateStaff competency: “one member of staff told us they had completed an online first aid course but when we asked what action they would take for a scald they described action that could increase skin damage.”
moderateCare planning: “some people's individual needs had no plan of care in place for staff to refer to.”
moderateCare planning: “Whilst risks were listed and assessed as low, medium or high, there was no further information to inform staff about the actions they should take to reduce risks of harm or injury.”
moderateIncident learning: “one fall we were told about was not recorded which meant the opportunity to learn lessons and mitigate reoccurrence was missed.”
moderateEnd-of-life care: “End of life care and palliative care planning was not in place... there was no palliative care plan to inform staff of this person's wishes.”
moderateInfection control: “Staff had not received training, or competency assessments, in Coronavirus or 'donning and doffing' PPE.”
moderateRecord keeping: “Some employment records had gaps in information... 'Care Worker Agreements' were not always dated or signed and it was therefore unclear when some staff had commenced their employment.”
moderateSupervision / appraisal: “Competency assessment records were basic and did not detail tasks observed or what knowledge had been checked.”
minorCommunication with families: “their plan of care did not inform staff how best to achieve effective communication given this person's visual and hearing impairments.”

Windmill Hill Care Limited

Inspection reports (2)