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

ReadyCQC

criticalMedication management: “Topical medicines had not been documented accurately or consistently in care plans and daily notes. As a result, it was not clear whether people required support in this area”
criticalSupervision / appraisal: “Staff had not received supervision in line with the providers policy, to support them in providing effective care and promote personal development.”
criticalStaff training: “The provider's training records were also inconsistent, which meant we could not confirm the competency of staff.”
criticalCare planning: “Care records were not always accurate or detailed people's preferences.”
criticalGovernance: “Systems and processes to monitor the safety and quality of service provision, identify issues and ensure actions were addressed timely, were not robust or fully embedded.”
moderateMedication management: “We identified some gaps in these charts including missed signatures and staff not recording the required code, when someone refused their medicines or family had administered them.”
moderateStaff training: “At least three staff were recorded as having completed all eight training sessions on the same day...which would not be possible. The registered manager told us this was a recording error.”
moderatePerson-centred care: “Care plans viewed on inspection tended to be task orientated...there was limited personalised information about people's likes, dislikes, interests, preferences”
moderateGovernance: “The provider did not have a clear audit schedule in place, which detailed what areas were checked and how often.”
moderateLeadership: “Due to the registered manager also being the nominated individual and owner of the company, there was no independent oversight of the service to ensure governance processes were robust.”
moderateIncident learning: “Accidents and incidents had been documented. However, this just detailed what had occurred, with no further information recorded, such as action taken, outcomes and lessons learned.”
moderateMissed or late visits: “rotas viewed indicated inconsistent travel time between calls. We noted numerous examples where no travel time had been scheduled between calls.”
moderateInfection control: “Changes to testing guidance for care staff had not been implemented timely. Not all staff were completing LFD tests before each shift.”
moderateRecord keeping: “we found instances of contradictory information within care plans. For example, one care plan stated a person's family managed their medicines in one section, whilst in another section stated staff needed to support them”
minorComplaints handling: “The outcome section of the current log was very brief and did not explain action taken, outcomes and lessons learned.”
minorCommunication with families: “we did not see or were provided with examples of information being available in different formats, such as large font, easy read or audio files to cater for varying needs.”
minorSafeguarding: “the initial concerns reported, action taken, and outcomes had not been captured on a safeguarding log.”

Dav Mak Care Solutions Ltd

Inspection reports (1)