moderate“the registered manager had not used their own quality assurance system to appraise the punctuality of staff and to identify if staff rotas needed to be amended”
missed or late visits
1 finding
moderate“Some relatives raised concerns about the variable times of people's care calls which was discussed with the registered manager.”
medication management
1 finding
moderate“We reviewed a sample of people's medicines records on the systems and found gaps in two people's medicine administration records (MAR).”
record keeping
1 finding
minor“the registered manager acknowledged that they needed to expand the recording of their staff checks to demonstrate the level and types of competency assessments”
safeguarding
1 finding
moderate“not all staff were fully aware of aspects of the provider's safeguarding policy on the action they should take if the registered manager had not taken appropriate action”
consent capacity
1 finding
minor“they would need to implement an assessment of people's mental capacity in relation to specific decisions about their care”
care planning
1 finding
minor“some people's care plans would benefit from more details about their personal care preferences such as how they wished to be supported with their personal and oral hygiene”