15 September 2017
During a routine inspection
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.