CSK Support 24 Ltd Northampton

We found that there had been some improvements in the management of medicines but further improvements were required. At the last inspection there was a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 as there was a lack of guidance around ‘as required’ medication. There were improvements in this area and the service was no longer in breach. However, some people did not have sufficient gaps between ‘as required’ medication which had not been identified. Risk assessments did not always contain sufficient information and this was not always personalised. Evidence reviewed showed that staff were aware of how to safeguard people from abuse. Staff were recruited safely.

We found that people had a positive experience of the care provided by the service. Where people needed emotional support staff were able to provide this. People received care which maintained their dignity

The evidence we gathered showed that people received person-centred care and staff knew how they liked to be supported. People felt listened to and involved in their care provision

We found that the audits carried out by the service were ineffective at identifying the issues we saw in medicines management and risk assessment. They did not identify that medicines had been consistently administered without the required 4 hours gap. Protocols for ‘as required’ medication did not contain enough information and audits had incorrectly recorded one person as not having a topical cream applied. This constituted a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Changes were made to rectify this at the time of the on site assessment.