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

ReadyCQC

criticalCare planning: “People did not always have assessments carried out when needs were identified. The lack of assessments placed people at risk of avoidable harm.”
criticalMedication management: “medicines administration records (MAR) were not always accurately completed...we could not be assured that people now received medicines as prescribed.”
criticalConsent / capacity: “Where people may have lacked capacity to make decisions about their care, the registered manager had not assessed capacity in accordance with the MCA 2005.”
criticalStaff training: “staff had completed in excess of 20 modules in one day...Staff spoken with could not all demonstrate their knowledge to us around areas such as mental capacity and safeguarding.”
criticalGovernance: “Quality monitoring systems and policies were in place but were not effectively operated to drive continuous improvement in the service.”
criticalSafeguarding: “there was a significant delay from when they suspected the person was at risk of harm to reporting.”
criticalRecord keeping: “Records were not completed accurately or well maintained...Medicine records were not updated which meant the provider could not be assured people received their medicines.”
criticalStaff competency: “Staff had completed online medicines awareness training and administered medicines without the required higher-level administration, management of medicines and competency assessment.”
moderateSupervision / appraisal: “supervision was not a structured meeting to review performance, discuss development and review objectives.”
moderatePerson-centred care: “Care plans lacked detail describing how personalised care and support plan based on what matters to people, their preferred outcomes and how they will be achieved.”
moderateIncident learning: “Staff entered incidents into the daily log, and not a separate report, meaning these were at times delayed in being picked up.”
minorMissed or late visits: “Time keeping varies, sometimes too early or late. No one lets us know they are late.”
minorCommunication with families: “I was complaining that they hadn't told me they had contacted my GP on my behalf. I felt a fool when the surgery rang me, and I didn't know.”

Axiom Home Care Limited

Inspection reports (1)