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

ReadyCQC

criticalSafeguarding: “Safeguarding logs received from the provider did not include all incidences of alleged abuse the CQC had been informed of from the local authority.”
criticalMedication management: “For some medicines the strength, formulation, route and start date were missing from the MAR and handwritten instructions relating to medicines was not legible.”
criticalStaff training: “Specialist Motor Neurone Disease (MND) training had not been completed by staff, despite professionals trying to organise this with the provider on at least 4 occasions.”
criticalStaff competency: “Most staff providing care had not received training in PEG care. Competency checks are the responsibility of the healthcare professional who has delegated this healthcare task.”
criticalGovernance: “The providers governance systems to monitor the quality and safety of the service were not effective. A Warning Notice was issued for breach of Regulation 17.”
moderateCare planning: “Some people's care plans had not been updated to reflect changes in their care needs. For example, one person's mobility had declined, and they were no longer using a hoist.”
moderateRecord keeping: “Various care records were not signed or dated. Some consent to care records were missing. The daily record audit for 2023 did not record any actions.”
moderateIncident learning: “The provider had failed to effectively monitor the performance of the service. Safeguarding concerns had not always been recorded, meaning patterns and trends could not be identified.”
moderateLeadership: “At the time of our inspection there was not a registered manager in post. A new manager had been in post since 11 April 2023 and had applied for their DBS.”
moderateCommunication with families: “One relative said, 'The manager does not reply to emails, and there is poor communication from them, nobody gets back to us.'”
minorPerson-centred care: “People's religious beliefs and cultural considerations were not detailed in their care plans or care needs assessment.”
minorConsent / capacity: “Not all care records contained a record of consent in relation to care, records or sharing of information.”

Quality-Statement breakdown (23)

safe: Systems and processes to safeguard people from the risk of abuseRequires improvement
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Using medicines safelyRequires improvement
safe: Learning lessons when things go wrongRequires improvement
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
effective: Staff support: induction, training, skills and experienceRequires improvement
effective: Supporting people to eat and drink enough to maintain a balanced dietRequires improvement
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceRequires improvement
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesRequires improvement
responsive: Improving care quality in response to complaints or concernsRequires improvement
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringRequires improvement
well-led: Continuous learning and improving care; duty of candourRequires improvement
well-led: Engaging and involving people using the service, the public and staff; working in partnership with othersGood

APT Care Central Bedfordshire & Bedford

Inspection reports (1)