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

Inspection report · 2022-05-06

Framework: KLOE · 20 pages · 88 KB · PDF

Inadequate

safe: Inadequateeffective: Requires improvementcaring: Requires improvementresponsive: Requires improvementwell-led: Inadequate

This first inspection of Jocelyn Cares Domiciliary rated the service Inadequate overall, with breaches of Regulations 12, 13, 17, 18 and 19 covering safeguarding, risk and medicines management, staff training/supervision, recruitment and governance. The service was placed in special measures, although staff were viewed as kind and people felt safe with the carers.

Concerns (18)

criticalSafeguarding: “Safeguarding training for all staff, including the registered manager, was out of date.”
criticalSafeguarding: “Some people had a Do Not Attempt Resuscitation order in place but their care records incorrectly stated they did want to be resuscitated.”
criticalCare planning: “Some people did not have care plans in place and some people's care plans had not been reviewed and updated when their needs had changed.”
criticalMedication management: “Staff did not complete medication administration records (MAR) charts when they applied prescribed cream.”
criticalMedication management: “Not all staff supporting people with their medicines had done medicines training.”
criticalStaff training: “All staff training was out of date and two members of staff had not done any training in how to provide care.”
criticalStaff competency: “some staff were not suitably competent and skilled to provide people with safe care.”
criticalSupervision / appraisal: “Staff supervision had not taken place on a regular basis for all staff and the provider had not ensured all members of staff could attend staff meetings.”
criticalGovernance: “The provider's governance of the service was inadequate and had not identified the issues we found at our inspection.”
criticalLeadership: “there were widespread and significant shortfalls in service leadership. Leaders and the culture they created did not assure the delivery of high-quality care.”
criticalInfection control: “There were no individual Covid-19 risk assessments for people or staff. This meant the provider's IPC practice was not in line with government guidance for safe Covid-19 IPC practice”
criticalOther: “We did not see evidence the provider had carried out Disclosure and Barring Service (DBS) checks for new staff.”
moderateStaffing levels: “The registered manager was providing care calls to people. It was evident the amount of care calls the registered manager was providing meant they did not have sufficient time to focus on the management of the service.”
moderateIncident learning: “the forms used to record incidents when people had been distressed did not contain any analysis of events or state what actions could or should been taken in the future to prevent them from recurring.”
moderateRecord keeping: “Some people's daily notes contained insufficient information when staff had applied cream to a person. Staff had only written 'creamed' in the person's notes.”
moderatePerson-centred care: “People's care records lacked personalised and person-centred information about people. Some people did not have care plans in place.”
moderateEnd-of-life care: “People's end of life care plans did not always contain personalised information about how staff should provide them with personal care during the end of their life.”
moderateCultural competency: “On a number of occasions staff had written the word "tantrums" when describing a person's behaviour.”

Strengths

· People and their families said they felt safe with staff and the service overall.
· Staff knew and understood people well and supported their aspirations to live a quality life of their choosing.
· People were supported to maintain a balanced diet and eat and drink enough.
· Staff proactively supported people to live healthier and more active lifestyles.
· The provider and staff obtained people's consent appropriately following best practice in decision-making.

Quality-Statement breakdown (26)

safe: Systems and processes to safeguard people from the risk of abuseInadequate
safe: Assessing risk, safety monitoring and managementInadequate
safe: StaffingInadequate
safe: Using medicines safelyInadequate
safe: Preventing and controlling infectionInadequate
safe: Learning lessons when things go wrongInadequate
safe: RecruitmentInadequate
effective: Staff support: induction, training, skills and experienceRequires improvement

Jocelyn Cares Domiciliary Limited

Inspection reports (2)