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

ReadyCQC

criticalCare planning: “not all risks had been fully identified and care records gave contradictory or missing information that could lead to people being placed at risk of harm”
criticalStaff training: “They lacked knowledge of conditions such as dementia and diabetes despite supporting people with these conditions and told us they had not received training in diabetes.”
criticalGovernance: “Quality assurance systems failed to identify or drive improvement in areas of quality, risk management, safety and staff skills and knowledge. This placed people at risk of harm.”
criticalLeadership: “The registered manager did not have a sufficient awareness of the legal responsibilities of their role and current statutory and best practice guidance.”
moderateSafeguarding: “staff did not have a good understanding what different forms of abuse looked like. This meant there was a risk of some abuse not being identified or reported.”
moderateStaff competency: “Staff were not aware of the principles of the Right support, right care, right culture policy. They did not understand what sensory or communication strengths or impairments a person might have.”
moderateSupervision / appraisal: “supervision records showed they were not supported to check their competency, understanding of their role or how they applied best practice.”
moderateMedication management: “Medicine Administration Records (MAR) showed different medicines prescribed than those listed in the care plan. This could lead to medicine errors if staff did not have the correct information.”
moderateIncident learning: “staff told us they were not given the opportunity to reflect when things went wrong. Records of staff supervision and team meetings showed staff were not given the opportunity to discuss areas for learning.”
moderateRecord keeping: “Care records had inconsistent and or missing information about risks and people's conditions.”
minorEnd-of-life care: “Staff had not yet had training in this area. People's wishes were not always assessed and in one case it simply stated to contact their relative for details.”

Quality-Statement breakdown (25)

safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseRequires improvement
safe: Staffing and recruitmentGood
safe: Using medicines safelyRequires improvement
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongRequires improvement
effective: Staff support: induction, training, skills and experienceRequires improvement
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
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
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
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 preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportRequires improvement
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Continuous learning and improving careRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Working in partnership with othersGood

Jurichez Ltd

Inspection reports (1)