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

criticalMedication management: “Medicines were not managed safely...no clear processes in place for staff to follow when sharing the administration of the person's medicines with another care company.”

criticalMedication management: “Guidelines for 'as required' medicines were not in place for the person, who was unable to make their needs always known, therefore staff had limited direction.”

criticalGovernance: “Governance and audit systems were not robust and did not provide effective oversight and monitoring of the service.”

moderateRecord keeping: “The provider had no system in place for staff to record the times in and out of visits...details of the reviews and the discussions held were not recorded.”

moderateStaff training: “Staff had received general learning disability training. However...staff had not received in-depth training in relation to their needs.”

moderateConsent / capacity: “Staff did not receive specific training in MCA...The provider assured us they will be facilitating specific MCA training for staff. This was yet to be embedded into practice.”

moderateCare planning: “Care plans did not contain their life histories, they lacked detail about their preferred routines and care plans did not include detailed information about the person's medical diagnoses.”

moderateStaffing levels: “Recruitment checks were not always robust...1 staff member did not have a disclosure and barring service (DBS) check facilitated by the provider.”

minorEnd-of-life care: “The care plans in place did not consider the person's end of life wishes.”

minorSupervision / appraisal: “Appraisals were not meaningful and consisted of a tick box exercise with limited discussions.”

minorPerson-centred care: “In one care plan their continence aid was referred to a 'nappy' and their medication record referred to them as a 'child'.”

BlueCross Life Care

Inspection reports (1)