minor“some staff told us their rotas had been frequently changed due to staff unexpected absence. A few staff told us these constant changes had affected their home life.”
missed or late visits
1 finding
minor“People told us staff arrived on time, but on the odd occasion care staff may be running late.”
communication with families
1 finding
minor“Two people felt they could have been provided with more information about their calls.”
medication management
1 finding
critical“Staff did not always record prompts given with individual medicines and the service did not always gather information about the medicines people were taking when staff prompted with medicines.”
record keeping
1 finding
critical“a complete and contemporaneous record of the support provided with medicines was not always maintained.”
governance
1 finding
critical“The systems and processes used by the service had not identified the issues we found with the recording of medicines support or the assessment of risk”
care planning
1 finding
moderate“In some care plans we checked, not all risks had been adequately assessed and documented. Some risk management measures were not detailed enough.”
person centred care
1 finding
minor“some care records would benefit from further detail about people's life history, likes and dislikes as this would support new staff to provide more personalised care”
consent capacity
1 finding
minor“the service did not retain a copy of the LPA in the person's care file. We recommend the service obtains a copy to ensure staff have clear information”