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

criticalStaffing levels: “Some staff started working before their Disclosure and Barring Service (DBS) checks had been received.”

criticalStaff competency: “The provider had failed to operate robust recruitment procedures, including undertaking any relevant checks.”

criticalMedication management: “gaps in medication administration records (MAR), suggesting people may have missed doses of critical medication for example, anticonvulsant medicine”

criticalGovernance: “This was a breach of regulation 17 (Good Governance) of the Health and Social Care Act 2018 (Regulated Activities) Regulations 2014.”

moderateCare planning: “People's care plans and risk assessments were not always regularly reviewed and updated.”

moderateStaff training: “five staff had not completed first aid training and four staff had not had any medication administration training.”

moderateSupervision / appraisal: “Staff did not have regular supervision, to receive feedback on their performance and constructive feedback on how this might be improved.”

moderateIncident learning: “the provider did not keep a record of the types or frequency of these reports, to enable them to look for patterns or trends”

moderatePerson-centred care: “Most people told us they were not aware of the content of their care plan and did not have a copy.”

moderateComplaints handling: “the provider told us they had no records of these complaints.”

moderateRecord keeping: “records could be stored in different formats including paper and the computerised system, making it difficult to get an overview quickly of people's care”

minorInfection control: “staff did not always wear the appropriate PPE when supporting them. Not all staff had received infection prevention and control (IPC) training.”

minorCommunication with families: “The provider did not have a clear understanding of, and so had not applied, the principles of the Accessible Information Standard”

Hilltop Works

Inspection reports (3)