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

criticalCare planning: “Risks had either not been assessed or were not adequate in relation to choking, skin integrity, equipment, falls, malnutrition, bedrails, Parkinson's disease, multiple sclerosis, and epilepsy.”

criticalStaff training: “New carers I have….are not trained at all in emptying or changing both my catheter bags safely and securely…. It really is not acceptable.”

criticalPerson-centred care: “The provider did not complete comprehensive assessments for people before they joined the service. Referral information from the local authority was used as a pre-assessment.”

criticalGovernance: “Although the provider had carried out audits in relation to medicines, compliance, staff files and care plans, they had not identified the issues we found at this inspection.”

moderateStaffing levels: “Only 71% of calls were delivered at the times scheduled... staff were often late or too early, and they were not always informed if there were going to be any changes.”

moderateIncident learning: “Accidents and incidents were logged and investigated, however the follow up actions taken to protect people in the future were not always documented.”

moderateRecord keeping: “Some care plans were not always signed by either the person using the service or the relative consenting to their care. Staff had not always signed and/or dated support plans.”

moderateConsent / capacity: “People or their relatives' consent to care and support was not always documented.”

moderateCommunication with families: “No, I haven't [been involved] and no, the [agency] don't discuss anything with me. No, we haven't seen any care plan for my [family member's] care support.”

moderateMedication management: “Although names of people's medicines were listed, the actual doses of these medicines were not always documented. People prescribed with high-risk medicines did not have appropriate risk assessment information.”

Hartwig Care (Bexley)

Inspection reports (1)