Deep Heart Care Wiltshire

During an assessment under our new approach

Date of Assessment: 15 January to 22 January 2025. The service is a care at home service providing support to adults of all ages and people living with dementia. This is the first assessment for this service since it registered with the Care Quality Commission (CQC) on the 6 October 2023. Medicines had not been managed safely. There were gaps in recording on people’s medicines administration records (MAR) and ‘as required’ protocols lacked details. MAR did not contain all the information needed for staff to safely administer medicines. People’s care plans and risk management plans did not contain enough details for staff to know how to provide safe care. Staff had not received all the training they needed to support people and we found shortfalls in how staff had been recruited. Governance systems were not established and operating effectively to identify the shortfalls found during this assessment. Quality checks being completed were not identifying the improvement needed for all areas of this service. The provider had failed to notify CQC of events they are required to do by law. Accidents and incidents were not managed to record all actions taken. Some of the provider’s policies did not contain accurate information and procedures were not being followed by staff at all times. Staff told us they felt supported by the provider and they enjoyed their work. Staff had regular supervisions, and the provider had carried out spot checks to monitor how staff were working. Complaints received were recorded and investigated by the registered manager.

We have found 4 breaches of regulations for staffing, safe care and treatment, good governance and failing to notify CQC. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.

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