Caremark Cambridge and South Cambridgeshire received a Good rating across all five key questions at its first CQC inspection in September 2019. The main shortfall identified was inconsistent medication administration records and insufficient auditing, though the registered manager took immediate corrective action during the inspection.
Concerns (4)
moderate
Medication management
: “one person's care plan informed staff that they needed their medicines administering and advised to leave one medicine in a pot to take later. This had led to occasions where the person did not take their medicine.”
moderateRecord keeping: “staff were signing the medication administration record (MAR) that the medicine had been administered and handing over in daily care notes that they had been left out for the person to take later.”
moderateGovernance: “Senior staff audited medicine records to check medicines were given in line with the prescriber's instructions, however there was no record of an audit for these occasions identified.”
minorEnd-of-life care: “Guidance was not available in people's care plans about their end of life wishes, although there were currently no people receiving end of life care at the time of our visit.”
Strengths
· People felt safe and were protected from avoidable harm; staff were trained in safeguarding and confident in reporting procedures.
· Staff were described as kind, respectful and person-centred, with people reporting improved quality of life.
· Effective multi-agency working with health and social care professionals, including occupational therapists and GPs.
· Robust recruitment processes including DBS checks applied consistently to agency staff.
· Registered manager ran in-house training including practical medication competency assessments.
Quality-Statement breakdown (24)
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
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: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
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 supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff; continuous learning and improving careGood