Background to this inspection
Updated
15 November 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 15 and 18 September 2017 and was unannounced. The inspection was carried out by an adult social care inspector.
Before our inspection, we looked at information the Care Quality Commission (CQC) had received about the service including notifications from the service. We also looked at safeguarding referrals, complaints and information from members of the public.
We spoke with two people using the service, we also spoke with the registered manager, deputy manager, two healthcare assistance and two relatives. We reviewed care records relating to people using the service, this included four care plans and risk assessments, daily logs of care and medicine administration records (MAR). We also looked at four staff personnel files and other relevant information such as policies and procedures. We reviewed the provider’s action plan, sent to us following the inspection.
Updated
15 November 2017
This inspection took place on 15 and 18 September 2017 and was unannounced.
Crown Medical Services is registered to provide personal care and nursing to people living in their own homes. At the time of our inspection there were seven people using the service, none required nursing care from the service.
There is a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were protected from the risk of abuse because staff knew what action to take to protect people. Risk assessments provided staff with guidance on how to manage risks to people. Staff understood risks and how to manage these.
People were treated with dignity and respect and staff understood the importance of respecting people’s privacy.
People were supported by staff who wore the appropriate protective clothing when providing personal care.
Staff received training relevant to their role and were supported to effectively carry out their role.
People received care that was individualised by staff who understood their needs. However, care plans were not person centred.
Medicines were not always managed safely, Medicines administration record [MAR] charts contained gaps and were not always correctly completed. ‘As and when required,’ PRN medicines protocols were not in place.
Staff recruitment practices were not always safe, we found a number of gaps in records relating to references and employment.
We made a recommendation regarding complaints.
We found four breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we asked the provider to take at the back of the full version of this report.