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

ReadyCQC

criticalSafeguarding: “some people in the supported living services did not have keys to access their properties and others were required to adhere to a curfew of 10pm or be locked out of the premises.”
criticalConsent / capacity: “The registered manager did not act in accordance with the Mental Capacity Act 2005 where people lacked capacity to make decisions. This was a breach of regulation 11.”
criticalCare planning: “Staff did not ensure a comprehensive assessment of each person's social, physical and emotional needs on admission or soon after. People's care plans did not have effective support outcomes.”
criticalGovernance: “Governance processes were ineffective and failed to ensure accurate records were kept of the quality of care. Audits conducted on the home environment including fire risk assessments had not identified risks.”
criticalStaffing levels: “The registered manager did not consistently follow a safe recruitment process for staff. DBS checks had not been commissioned by them.”
moderateRecord keeping: “The registered manager told us they did not maintain a register to record verbal or written complaints. They did not record lessons learnt and how this had been shared with staff.”
moderateStaff training: “Not all staff members had completed training in the Mental Capacity Act or working with people with learning disabilities, autistic spectrum disorders or mental health.”
moderateSupervision / appraisal: “Staff supervisions were held irregularly and the records incomplete. Actions identified for staff were not reviewed in a timely manner.”
moderatePerson-centred care: “Staff did not spend time with people to identify their interests and preferences. They did not plan, organise or support them to access a range of activities.”
moderateCommunication with families: “Staff did not support people with communication styles appropriate to them. Staff told us they did not use or have any communication tools available to facilitate conversation and decision making.”

St. Helens House

Inspection reports (1)