critical“We could not be assured people had received their medicines as prescribed. People's medicines records were not always accessible and did not always contain up to date information.”
critical“People did not have protocols in place regarding the use of prescribed topical creams...Risks around prescribed flammable topical creams had not been identified.”
staff training
1 finding
critical“Not all staff had completed the provider's mandatory training as required...one staff member had not completed any training. Another staff member had completed one training session.”
staff competency
1 finding
critical
“Not all staff had received training in medicines administration but were supporting people with their medicines.”
governance
1 finding
critical“The provider told us they undertook various audits, but these had not identified the issues we found on inspection.”
record keeping
1 finding
moderate“For two people, computer records did not contain environmental risk assessments and paper records were later found, which meant they were not on the system which staff could see.”
staffing levels
1 finding
moderate“The provider's application form asked for employment history for ten years, which did not meet the requirements of the legislation.”
safeguarding
1 finding
moderate“Not all staff had completed safeguarding training.”
care planning
1 finding
moderate“Risk assessments were not consistently available...some staff told us they could not access or had not looked at risk assessments.”
consent capacity
1 finding
minor“For one person, it was believed there was an attorney for Health and Welfare, but there was no copy of the authorisation.”
complaints handling
1 finding
minor“It did not include all the necessary information to inform people how to make a complaint if they were not happy with the response from the provider.”