critical“They had not done so for one incident when actions of care staff had placed the person at risk of harm. We made a referral to the local authority safeguarding team for this incident as part of our inspection.”
medication management
1 finding
moderate“Care staff had sometimes applied skin creams when they were not on a person's medicine's administration record (MAR) chart. This is not in line with good practice.”
care planning
1 finding
moderate“Care plans and risk assessments for medicines and skin care needs were not always consistent in the level of detail they provided to staff.”
record keeping
1 finding
moderate“The provider told us they asked people about any gaps in their employment history however, this was not recorded on people's recruitment files.”
governance
1 finding
moderate“Not all statutory notifications had been submitted in a timely manner as required. Some policies and procedures were not always followed.”
complaints handling
1 finding
minor“Another complaint had not been responded to as the provider told us it did not fall into the scope of their complaints process. However, the provider was not able to show us they had responded.”