23 May 2023
During an inspection looking at part of the service
We have not rated this inspection due to the location being unregistered with Care Quality Commission:
The service did not ensure staff were competent in their roles. The service did not ensure staff understood the Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) process.
Policies and procedures were not tailored specifically to the service. Leaders did not demonstrate understanding of the need for service specific policies. Policies were not appropriately signed, dated or version controlled.
The service did not ensure patient assessments were up to date, accurate or were aligned with risk management plans.
There was no policy for the administration or management of medical gases. The provider was unable to demonstrate staff training or competency in the use and storage of medical gases.
The service did not ensure staff followed infection prevention and control (IPC) measures in relation to vehicle cleaning and deep cleaning.
The service did not understand the need for enhanced Disclosure and Barring Service (DBS) checks for all patient facing staff.
The service did not demonstrate understanding of incident reporting, investigating or learning from these. Improvements to keep people safe were not in evidence.
The service did not follow national guidance to help keep patient information safe and secure.
However:
- Staff treated patients with care, compassion, and respect.
- Staff recorded patient information using an online platform for ease of information sharing.