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

ReadyCQC

Concerns (11)

criticalCare planning: “Risk assessments were either not present, had not been updated in a timely manner, or lacked sufficient and accurate detail to help staff understand and respond to risks.”
criticalMedication management: “The MARs viewed did not include all the medicines prescribed to people and that were being administered by staff, including the application of topical creams.”
criticalStaff training: “Training certificates were not available to evidence the specialist training recorded on the matrix had taken place.”
criticalStaff competency: “Staff were signed off to work unsupervised without being assessed as safe and competent in tasks they were involved in, such as medicine administration and moving and handling.”
criticalSafeguarding: “In 7 out of the 12 staff files viewed we found staff had worked without a DBS check in place and there was no risk assessment to indicate this had been identified.”
criticalGovernance: “Audits were not undertaken in line with the provider's policy and no audit schedule was in place. Where audits did take place, these had not been effective in identifying the concerns we found.”
criticalRecord keeping: “Records were not suitably maintained, in that information within care plans and risk assessments was not always accurate and up-to-date. Some records contained contradictory information or were undated or incomplete.”
criticalConsent / capacity: “The service was not working within the principles of the MCA as MCAs and best interest decisions were not decision specific. Some MCAs were either not in place or were not completed in a timely manner.”
moderateIncident learning: “16 alerts of incident that occurred between 5 May 2023 and 14 June 2023 were logged and marked as 'Action needed'. Records had not been updated and closed by a manager.”
moderateSupervision / appraisal: “Gaps in the spot checks and supervisions for a number of staff and for other staff records were not on file to confirm the spot checks and supervisions recorded on the matrix had taken place.”
minorEnd-of-life care: “At the time of our inspection the training matrix showed the current staff team had not received end of life care training.”

Quality & Compassion Ltd

Inspection reports (1)