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

ReadyCQC

criticalMedication management: “Another person had no MARs in place for the months beginning December 2022 and January 2023. There were no records to show that they had received their medicines safely as prescribed.”
criticalMissed or late visits: “22% of calls were more than 15 minutes late, and 9% were more than 45 minutes late...31.6% of care visit calls were scheduled without allowing staff any travel time.”
criticalCare planning: “Care plans did not always identify and or reflect individuals' preferences...Some care plans and records contained contradictory and or inaccurate information.”
criticalGovernance: “The registered manager confirmed and acknowledged that there were no systems in place to check and audit care records and care plans.”
criticalSafeguarding: “Records showed that safeguarding concerns, complaints and accidents and incidents were not always correctly identified, assessed, and respond to in line with the providers policy.”
criticalConsent / capacity: “Mental capacity assessments that had been completed, had not been completed correctly...not detailed nor decision specific. They failed to detail the questions asked.”
moderateComplaints handling: “Complaints were not always managed appropriately and in a timely manner and audits in place to learn from or identify themes and trends were not always effective.”
moderateStaff competency: “Medicines competency assessments had not been completed to ensure staff were competent to manage and administer medicines safely.”
moderateEnd-of-life care: “Care plans and records did not include information regarding people's end of life care, wishes and preferences.”
moderatePerson-centred care: “Care plans and records had limited information about people's personal histories, lifestyles, preference, and independence.”
moderateIncident learning: “The provider did not ensure lessons were learned when things went wrong and did not have robust systems in place to ensure reported safety concerns were addressed.”
moderateRecord keeping: “There were no body maps in place to guide staff on where the patch needed to be applied ensuring rotation of the patch site in line with guidance and best practice.”
moderateStaffing levels: “13% of double handed care call had less than 15 minutes overlap between care workers, including 8% which had no overlap.”

Quality-Statement breakdown (20)

safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Using medicines safelyRequires improvement
safe: Staffing and recruitmentRequires improvement
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongRequires improvement
safe: Preventing and controlling infectionGood
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 lawRequires improvement
effective: Supporting people to eat and drink enough to maintain a balanced dietRequires improvement
effective: Staff support: induction, training, skills and experienceGood
effective: Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier livesGood
caring: Ensuring people are well treated and supported; respecting equality and diversityRequires improvement
caring: Supporting people to express their views and be involved in making decisions about their care; Respecting and promoting people's privacy, dignity and independenceRequires improvement
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesRequires improvement
responsive: End of life care and supportRequires improvement
responsive: Improving care quality in response to complaints or concernsRequires improvement
responsive: Meeting people's communication needsRequires improvement
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
well-led: Continuous learning and improving care; duty of candour; roles and regulatory requirementsInadequate
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringRequires improvement
well-led: Engaging and involving people using the service, the public and staff; Working in partnership with othersRequires improvement

Unique Personnel (UK) Limited

Inspection reports (1)