ReadyCQC — A weekly field guide to CQC home-care regulation

ReadyCQC

criticalMedication management — “The directions on medicines administration records (MARs) for 2 people did not match the directions on the medicine's labels.”
criticalMedication management — “A person had been supported to take 2 doses of one of their prescribed medicines at the same time instead of at the prescribed times 3 times a week.”
criticalCare planning — “Robust and detailed care plans and risk assessments were not always in place to provide guidance to staff on how to mitigate and manage risks relating to people's needs.”
criticalGovernance — “The provider had failed to operate effective systems to assess, monitor, mitigate risks, maintain accurate and complete records and improve the service.”
moderateIncident learning — “Incidents had not always been investigated to identify any lessons to be learnt or any follow up actions to provide additional support to people.”
moderateRecord keeping — “We identified concerns in relation to poor record keeping. For example, in relation to medicines, daily records and ABC charts.”
moderatePerson-centred care — “Care plans did not always reflect people's needs or strengths. Staff did not always have the information on how they should work with people to promote their independence.”
moderateConsent / capacity — “For people the service assessed as lacking mental capacity for certain decisions, there were not always recorded assessments and best interest decisions in place.”
moderateStaff competency — “A relative told us they had to take the lead on supporting medical appointments for their relative due to the inconsistency in individual staff members competency.”
moderateLeadership — “There is no leadership. It depends on which member of staff you interact with as to whether you are involved or if anything gets done.”
minorStaffing levels — “Many of the recruited staff were non-drivers which impacted on people's ability to access their communities.”
minorCommunication with families — “Some relatives told us that communication was not always consistent, and it sometimes depended on which staff were working.”

Quality-Statement breakdown (22)

safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Using medicines safelyRequires improvement
safe: Learning lessons when things go wrongRequires improvement
safe: Staffing and recruitmentRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseRequires improvement
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 live healthier lives, access healthcare services and supportRequires improvement
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietRequires improvement
caring: Respecting and promoting people's privacy, dignity and independenceRequires improvement
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 careRequires improvement
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesRequires improvement
responsive: Meeting people's communication needsRequires improvement
responsive: Improving care quality in response to complaints or concernsRequires improvement
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: How the provider understands and acts on the duty of candourRequires improvement
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 staffRequires improvement
well-led: Working in partnership with othersRequires improvement

Auckland Care - Hampshire

Inspection reports (2)