Care Quality Commission

“we have concluded that CQC should not directly check the DBS for Nominated Individuals.”

“CQC check systems and processes to ensure that providers are confident that the individuals they are recruiting are suitable, whether as Nominated Individual or otherwise.”

“Through Regulation 5we expect diligent enquiries to be made by providers at the appointment stage and effective performance management for the duration of the appointment.”

“Work is underway to develop a triage system for registration applications to ensure that higher risk applications go through an appropriate process, and to streamline our processes for those that are lower risk.”

“The provider should have procedures to follow in an emergency and staff should be trained in these procedures.”

“«This incident and the lessons learnt from it i.e. to ensure effective communication at the point of a resident's transfer or discharge to another provider will be raised in a forthcoming issue of our quarterly Safety 1* bulletin which is shared across all of our Amore Care Homes.”

“We will be meeting with the Trust again in December 2016 to review the impact of their action plans.”

“NHS England recently established an adult mental health programme which is taking a whole system approach comprising crisis, acute, and community/primary care work streams. The acute care work stream has been developed in response to a number of recommendations set out by the Commission on Acute Adult Psychiatric Care and The Five Year Forward View for Mental Health, and is particularly relevant to the concerns outlined in your report.”

“Admission - For admission of a patient with pneumonia to a BMI hospital without HDU/ITU facilities, | a patient's current and previous medical and surgical history is considered to confirm that they meet i the criteria for admission to the hospital with no HDU/ITU facilities i.e. patients requiring level 0 - to level 1 care. It is acknowledged that clinical deterioration can occur at any stage of a patient's pathway and the National Early Warning Score (NEWS) is a tool in use to support staff in”

“undertake a comprehensive ratings inspection at Belong Wigan Care Village where [the deceased] resided prior to her unfortunate death and to specifically look at actions the provider had taken in response to the Report findings”

“We will be meeting with NEAS in September 2015 to discuss and monitor how they are managing their delivery of the service, what is their current position of staffing levels and identified vacant posts and their current recruitment position.”

“we did not provide a rating (we now rate organisations on a four point scale - outstanding, good, requires improvement and inadequate against these key areas)”