minor“staff had some guidance of the support required at these times, we noted this was limited in detail for one person.”
moderate“one person told us they now used an aid to assist them to get into the bath and said this was not included in their care plan”
moderate“information that had been identified when assessing ways of minimising risks people faced had not been included in the guidance for staff in their care plans”
record keeping
2 findings
moderate“medicines such as antibiotics that were hand written onto the MARs, were not signed by a second person to confirm the information was correct.”
moderate
“these did not highlight any issues, such as a lack of description of the care provided in people's daily notes...There was also a time delay in auditing records”
consent capacity
2 findings
minor“best interest decisions needed further detail to show who had been involved in the decision and how the decision had been reached.”
minor“The form used did not fully follow the requirements and principles of the MCA so these assessments did not contain all the information expected.”
communication with families
2 findings
minor“two people said they were not advised and several others said on the whole they were informed.”
minor“some other people felt their reason for contacting office staff had not been acted upon. This included either cancelling or rearranging appointments.”
missed or late visits
1 finding
minor“58% stating they received their visits within the agreed 15 minutes. This shows there were some improvements required in people receiving their visit at the agreed time.”
governance
1 finding
moderate“The auditing of people's care records was not sufficiently robust to identify errors and where any improvements were needed.”
person centred care
1 finding
moderate“information was still not always kept up to date with people's changing needs”
staffing levels
1 finding
minor“some staff said they felt obliged to cover unallocated calls on their days off...they did not think it was good practice to attend calls they had not previously visited”
supervision appraisal
1 finding
minor“there had not been a team meeting held recently where they could discuss the service with colleagues and managers.”