critical“Risks to people were not always recorded and guidance was not always in place to give staff the information they needed to keep people safe.”
medication management
1 finding
critical“The provider had not always assessed the risk to people in relation to time sensitive medicines… 'They are often late and I have to take my meds at a particular time'”
missed or late visits
1 finding
critical“We spoke to 9 people and their family members and 7 of them told us staff were often late… staff were often late which supported what people were telling us.”
safeguarding
1 finding
critical“Staff were unsure on how to recognise and report concerns directly to the local safeguarding authority… safeguarding policy… information about who to report concerns to had been left blank.”
staffing levels
1 finding
critical“The deployment of staff did not always ensure that people received their calls as planned for them. This risk was a breach of Regulation 18.”
person centred care
1 finding
critical“People's care plans did not always contain person centred information… 3 people had not seen sight of their care plan.”
governance
1 finding
critical“The provider failed to have adequate and robust systems in place to monitor and improve the service and effectively identify, monitor and improve risks to people.”
cultural competency
1 finding
moderate“The provider had failed to support staff with the knowledge and skills they needed to provide people with culturally appropriate care.”
staff competency
1 finding
moderate“'The current carers really lack experience… just have no idea about hoovering or cleaning.' Another person told us, 'I think they don't have any training, they just don't know what to do.'”
complaints handling
1 finding
moderate“People did not always find it easy to raise concerns or make a complaint… Comments included, 'Really a waste of time' and 'Nobody gets back.'”
communication with families
1 finding
moderate“5 people felt communication with staff and managers was poor… 'This company is very different from the other companies. You don't really hear from them.'”
consent capacity
1 finding
minor“People's feedback about staff asking for permission and consent before providing care was varied… seeking consent was not always consistent.”