CQC inspection statistics 23 September 2015
1061 services inspected (as reported on CQC website 23/09/2015)
Rated Outstanding 14 1%
Rated Good 613 57%
Rated Requires Improvement 355 35%
Rated Inadequate 79 7%
Analysis of statistics since October 2014 to August 2015
Homes rated good or Outstanding 59%
Homes rated requires improvement or inadequate 41
In the past 2 months we have seen a large increase in the number of services requiring emergency audit/action plans in response to CQC inspection failings. The common findings from our audits are as follows: –
Medication – Policy out of date – check NICE Guidelines and review, PRN medication, Covert Meds, Documentation in general, lack of stock checks, BF and CF stock totals on MAR Sheets – lack of proper audit.
MCA – Capacity Assessments, Best interest decision making and recording, Staff understanding and application of the MCA in practice.
DoLS – recording of expiry dates, conditions attached to the authorisation, staff awareness of any conditions, inclusion of the details within the care plans.
Health and Safety – General Risk Assessment, Fire signage, emergency contingency planning, Legionella and water testing, Fire Risk Assessment rectifications.
Care Planning – task orientated, insufficient care plans and risk assessments, lack of personalisation, lack of meaningful activities themed to personalised goals.
Food, Nutrition and Target Fluid Intake Monitoring
Unsubstantiated Staffing levels – (dependancy ratio’s and Mental Health weighting calculations to evidence safe staffing requirements)
Lack of Accident and Incident analysis, risk management and care plan adjustments as a result, communication of changes to practice and shared learning outcomes
Lack of pro-active referrals to MD team of Specialists such as GP, CPN, SALT, Dietitian, OT, PHYSIO, TVN etc.,