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

ReadyCQC

criticalGovernance: “The registered manager had not operated an effective system to enable them to assess, monitor and improve the quality and safety of the service provided.”
criticalMedication management: “We were not able to check any records for management of medicine such medication administration record (MAR) sheets and any 'when required' PRN medicine protocols.”
criticalStaff training: “Staff were not provided with training and skills to ensure they had the right knowledge and guidance to provide effective care and support to people.”
criticalStaff competency: “The registered manager confirmed staff did not have their competencies assessed such as for medicine and moving and handling.”
criticalStaffing levels: “One member of staff had only stayed 12 minutes instead of an hour on more than one occasion... calls had been missed... missed a number of bedtime calls during the last month and had not eaten one night.”
criticalMissed or late visits: “This morning they were extremely late... received no contact about the late visit... first care visit that morning had been at lunch time. There had been no calls to say that staff would be late.”
criticalRecord keeping: “The registered manager did not always ensure that clear and consistent records were kept for people who use the service and the service management.”
criticalComplaints handling: “There were no clear records completed for two complaints. The forms used to log the complaints were blank... at least two more complaints, however there were no records found during inspection.”
criticalIncident learning: “The registered manager did not make a record of further actions needed to be taken to mitigate risk to individuals... unable to check the outcomes of investigations and any action taken.”
criticalSafeguarding: “The registered manager did not ensure CQC was consistently notified of at least six reportable events such as allegation of abuse within a reasonable time frame.”
moderateSupervision / appraisal: “Only some staff had only one session of supervision to review their performance, professional development and discuss any matters.”
moderateCare planning: “Most parts in the care plans had basic information and did not include more detailed information for staff to follow, so they could meet specific people's needs safely and effectively.”
minorConsent / capacity: “Some of the care and support records were signed by the family members and it was not clear if they had a legal right to do that.”

Limms Care Services Limited

Inspection reports (1)