critical“The providers system to monitor the quality of the service was not always effective. This was a breach of Regulation 17 (Good Governance)”
care planning
1 finding
moderate“the care plan was vague and stated, 'use as trained.' There was no detailed instructions on how staff should use the equipment safely.”
medication management
1 finding
moderate“We reviewed medication administration records (MAR's) and found some gaps in recording.”
staff training
1 finding
moderate
“A recent training audit identified some staff training had expired three months ago... This training included moving and handling and medication training.”
staff competency
1 finding
moderate“Most of the staff are great but there are some that don't know how to care for [relative].”
record keeping
1 finding
moderate“Another person's assessment identified a need to monitor food and fluid, however, there was nothing in the care plan to guide staff in how to carry out this task.”
leadership
1 finding
minor“the registered manager there was no registered manager had recently left, and the service was being managed by the service director.”