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

ReadyCQC

criticalMedication management: “Some medicines administration record (MAR) charts were missing information, some had not been completed correctly and one week their MAR chart had not been completed and was blank.”
criticalMedication management: “the person's medicines were not always administered in line with NICE (The National Institute for Health and Care Excellence) guidelines for medicines management”
criticalStaff training: “Some of the staff used to provide the person with care when their usual care workers were not available had not received training to work with epilepsy, learning disabilities, behaviours that some people may find distressing and PEG”
criticalStaff competency: “A carer came and [name of person] had a seizure and I saw on the camera that the member of staff tried to lift [name of person] up during the tonic seizure instead of leaving [name of person] until the seizure had passed”
criticalSafeguarding: “Some staff lacked sufficient knowledge and understanding about the types of abuse people could experience, how to recognise signs of abuse and how to report abuse to external organisations.”
criticalSafeguarding: “The provider had not always reported safeguarding incidents to the local authority.”
criticalCare planning: “The person's risk assessments were not always completed and their risk assessments and care plan did not always contain detailed and specific information for staff to manage risks safely.”
criticalGovernance: “The provider had not always carried out audits and audits carried out had not identified the issues we found during the inspection.”
moderateRecord keeping: “The provider had not recorded any information about COVID-19 testing for staff, including the results of staff Lateral Flow Tests.”
moderatePerson-centred care: “The person's daily support plan was task focused and did not contain any information for staff about how the person wanted tasks carried out or how they wanted their personal care done.”
moderateStaffing levels: “The provider had not always gathered sufficient information about the work history and previous employers of new staff and had not always obtained references for new staff from one of their previous employers”
moderateInfection control: “the provider had not carried out individual COVID-19 risk assessments for the person and staff. This increased the potential risk of harm to the person and the staff from COVID-19”
moderateLeadership: “The registered manager and the operations manager were not engaged with and did not participate in any learning and development or support networks for registered managers and providers.”

Quality-Statement breakdown (25)

safe: Using medicines safelyNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Staffing and recruitmentNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Supporting people to develop and maintain relationships to avoid social isolationNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
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 requirementsNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Continuous learning and improving care; Engaging and involving people using the service, the public and staffNot rated
well-led: Working in partnership with othersNot rated
well-led: How the provider understands and acts on the duty of candourNot rated

Croydon Borough

Inspection reports (1)