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

ReadyCQC

criticalGovernance: “Notifications were not always submitted as required...This is a breach of Regulation 18 of the Care Quality Commission (Registration) Regulations 2009.”
criticalGovernance: “Systems had failed to identify that mental capacity assessments were not fit for purpose...The above constitutes a breach of Regulation 17 of the HSCA 2008.”
moderateMedication management: “Medicines that are needed 'as and when required'...did not always have additional guidance for staff to help them identify when it may or may not be required.”
moderateStaffing levels: “Staff were having to pick up extra calls due to staff shortages and sickness which had an impact on their ability to get to calls on time.”
moderateCare planning: “Details about people's specific health conditions were not always included in people's care plans which left people at risk of receiving inconsistent care.”
moderateConsent / capacity: “The capacity assessment documentation in place was not fit for purpose as they did not include all of the principles of the MCA.”
moderateStaff training: “They sent two staff who just didn't know what to do. They [staff] should have proper training before they come to us.”
moderateRecord keeping: “Care plans did not always contain enough detail...people's care plans did not include details about how people needed to be supported with this.”
moderateIncident learning: “There was minimal analysis of accidents and incidents...no further evidence of looking at particular trends such as the staff involved, day of the week.”
moderateSupervision / appraisal: “Competency checks had only been conducted with reablement staff; the staff supporting people with longer-term care...were awaiting their competency checks.”
minorEnd-of-life care: “There was no detail in the person's plan about their end of life wishes or how they would like to be supported.”
minorPerson-centred care: “People were not always aware of who would be providing their care and they were not informed of changes to the staff scheduled to support them.”
minorCultural competency: “It was not evident that people were offered the opportunity to discuss their sexuality...Sexuality, religion and spirituality is very important.”

Nexxus Care (Staffordshire)

Inspection reports (2)