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

ReadyCQC

criticalMedication management: “Records to evidence how medicines were administered to people to ensure they were administered as prescribed were not provided or available when requested.”
criticalCare planning: “The provider had moved to a new electronic system in January 2022 but did not have up to date care plans for people they supported.”
criticalStaffing levels: “The provider failed to ensure sufficient numbers of suitably qualified, competent, skilled and experienced persons were effectively deployed.”
criticalGovernance: “Since our last inspection in September 2018, the provider had failed to carry out regular audits to identify issues.”
criticalSafeguarding: “CQC and safeguarding team had not been notified of two possible allegations of abuse. Systems in place to ensure provider oversight had failed to identify this.”
criticalLeadership: “The registered manager did not have a good understanding of their role, regulatory requirements and lacked oversight of the service.”
moderateMissed or late visits: “Occasionally we've not had anyone turn up until it's too late, and I've had to do it myself, so I've cancelled and rung the company to tell them.”
moderateIncident learning: “There was no analysis of trends to identify areas of learning to be shared with staff, so there could be a positive impact in improving people's experience.”
moderateComplaints handling: “Not all complaints made, were logged and investigated in line with the provider's complaints procedure.”
moderatePerson-centred care: “Care records did not contain background information about people so care staff could know more about the person they were supporting.”
moderateRecord keeping: “Detailed information about accidents and incidents was not recorded and the provider failed to carry out any analysis.”
moderateCommunication with families: “Relatives we spoke with told us that communication with the management team was poor and this needed improvement.”
minorEnd-of-life care: “Care records did not contain advance decisions about people's choices about the end of their life. The registered manager told us that they had not explored this.”
minorCultural competency: “Care records failed to guide staff about people's cultural requirements in relation to their diet; to ensure they were supported according to their needs.”
minorInfection control: “Some people and relatives told us that staff sometimes wore PPE and at other times did not, or not at all, while other people and their relatives said that staff always wore PPE.”

Capital Healthcare Management

Inspection reports (2)