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

ReadyCQC

criticalSafeguarding: “two incidents where people had fallen whilst care was being delivered but the registered manager was not aware these incidents met the criteria for allegations of neglect and failed to report them”
criticalCare planning: “where people had a diagnosis of dementia, this was not thoroughly factored into assessments. For example, type of dementia, what stage of the disease people were at”
criticalConsent / capacity: “The registered manager did not work in accordance with the MCA and its Code of Practice...no documentary evidence to show whether people or those who represented them had given consent”
criticalGovernance: “Governance systems were ineffective and care records relating to the management of the service were not always fully completed, accurate and fit for purpose.”
criticalComplaints handling: “The provider did not have effective systems to make sure all complaints were documented, investigated, and ensured people were always provided with the outcomes.”
criticalLeadership: “The registered manager had lost managerial oversight of the service and failed to follow policies and procedures which, if followed, would have helped them to be compliant”
moderateIncident learning: “There were no records of audits undertaken of accidents and incidents and analysis to determine if there were any emerging patterns to learn and make further improvements.”
moderateStaff training: “Staff were not appropriately inducted and their competency to perform certain tasks whilst undergoing training, was not assessed.”
moderateSupervision / appraisal: “The service had a supervision policy, but current practice showed this was not being followed...No formal records of yearly appraisals records were cited.”
moderateRecord keeping: “Care records relating to care and support were not always legible, kept up-to-date and contemporaneous.”
minorEnd-of-life care: “care records viewed did not always reflect people's wishes and preferences relating to end of life. Instead care records...would only indicate if people had do not resuscitate orders”
minorPerson-centred care: “the service missed the opportunity to add staff's knowledge about people's life stories, to peoples' plans of care and grab sheets.”

Laura Cares

Inspection reports (1)