CQC Compliance Overview
Are we safe?
Services protect people from abuse and harm. This involves assessing and managing risks, ensuring proper safeguarding procedures, managing medicines safely, and maintaining a safe environment.
Key Metrics
- Incidents (last 30 days): 2 (0 severe)
 - Safeguarding Referrals: 0
 - Medication Errors: 0.5% (below target)
 - Fire Safety Audit: Due in 15 days
 
Recent Activities
- Risk Assessment Review: Resident A (2025-08-10)
 - First Aid Training: 3 staff completed (2025-08-05)
 - New Fire Extinguishers Installed (2025-07-30)
 
Are we effective?
People's care, treatment, and support achieves good outcomes, promotes a good quality of life and is based on the best available evidence. This includes individualised care plans, staff training, and monitoring outcomes.
Key Metrics
- Care Plan Reviews: 90% up-to-date
 - Staff Competency Score: 8.5/10 (Avg.)
 - Resident Goal Achievement: 85% success rate
 - Nutritional Assessments: 100% completed
 
Recent Activities
- Care Plan Audit: Q2 2025 completed
 - Dementia Care Training: All new staff completed (2025-08-12)
 - Physiotherapy Progress Review: Resident B (2025-08-08)
 
Are we caring?
Staff involve and treat people with compassion, kindness, dignity and respect. This is about person-centred care, promoting independence, and respecting privacy.
Key Metrics
- Resident Satisfaction: 4.8/5 (Avg.)
 - Compliments Received: 12 (last month)
 - Complaints Resolved: 100% within SLA
 - Privacy & Dignity Audits: All green
 
Recent Activities
- Resident Feedback Meeting: Positive outcomes (2025-08-14)
 - Dignity & Respect Training Refresher (2025-08-01)
 - New Volunteer Onboarding (2025-07-28)
 
Are we responsive?
Services are organised so that they meet people's needs. This involves adapting to individual preferences, managing complaints effectively, and planning for people's needs.
Key Metrics
- Needs Assessments: 100% up-to-date
 - Complaint Resolution Time: 3 days (Avg.)
 - Activity Engagement: High across groups
 - Waiting List: 5 residents
 
Recent Activities
- New Activity Schedule Implemented (2025-08-15)
 - Resident Preferences Updated: Resident C (2025-08-10)
 - Emergency Evacuation Plan Drill (2025-08-03)
 
Are we well-led?
The leadership, management and governance of the organisation assures the delivery of high-quality and person-centred care, supports learning and innovation, and promotes an open and fair culture.
Key Metrics
- Staff Turnover: 10% (below national avg.)
 - Governance Meeting: Next on 2025-09-01
 - Quality Improvement Projects: 3 active
 - Regulatory Compliance: No recent breaches
 
Recent Activities
- Leadership Training: Team Leaders (2025-08-10)
 - Annual Governance Review Initiated (2025-08-05)
 - New Whistleblowing Policy Distributed (2025-07-20)
 
Quick Statistics
- Residents: 45/50 beds occupied
 - Staff On Duty: 12
 - Incidents (Last 24h): 0
 - Training Compliance: 92%
 
Upcoming Appointments
- 10:00 AM: Dr. Smith (Resident A)
 - 02:30 PM: Physio (Resident B)
 - 04:00 PM: Family Visit (Resident C)
 
Notifications
- Urgent: Fire drill overdue!
 - Reminder: Staff meeting tomorrow at 10 AM.
 - New resident admission pending.
 
Resident Management
Current Residents
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| Resident Name | Room | Status | Care Plan | MCA | Risk Assessment | DOLs | Actions | 
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Resident Details:
Personal & General Information
Care Plan
- Status:
 - Last Review:
 - Next Review:
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                  Goals:
                  
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                  Interventions:
                  
 - Medical Conditions:
 - Allergies:
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                  Other Care Professionals:
                  
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                  Daily Assistance Needs:
                  
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                    Morning:
 
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                    Afternoon:
 
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                    Evening:
 
- Night:
                  
 
 
Mental Capacity Act (MCA)
- Capacity:
 - Last Assessment:
 - Next Review:
 - Notes:
 
Risk Assessment
- Status:
 - Last Assessment:
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                  Identified Risks:
                  
 - Management Plan:
 
Deprivation of Liberty Safeguards (DOLs)
- Status:
 - Last Application:
 - Notes:
 
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