moderate“three of the five care records looked at were for people at risk of skin breakdown...There was no risk assessment or information in care plans about pressure area management.”
minor“The provider had recognised, prior to our inspection visit, that their risk management plans required more detail...needed more detailed information to refer to.”
moderate“one person had an allergy identified in their care records to an everyday item. However, there was no instruction for staff on how they could minimise the risks of an allergic reaction.”
record keeping
3 findings
moderate“the record did not detail what medicine and dosage had been given.”
minor
“clearer direction was needed for staff to refer to, such as whether the records should state the amount of fluid or just the type of drink offered.”
moderate“auditing procedures had not highlighted the need for risk assessments to be more detailed to ensure people's care was delivered consistently by staff.”
medication management
1 finding
minor“We looked at their care plan and saw that it did not give staff any detail about the level of support the person required.”
consent capacity
1 finding
minor“Care workers completed MCA as part of their dementia awareness training, and associated 'capacity' with dementia...Care workers would benefit from MCA training.”
staff training
1 finding
minor“Some staff told us they had not completed first aid training but would always follow the guidance given by healthcare professionals.”
governance
1 finding
critical“The manager had not always notified CQC of incidents that occurred at the service which involved the police and safeguarding concerns.”
missed or late visits
1 finding
minor“I need a call at half nine in the morning, but in the last two or three months they're getting later and later.”
complaints handling
1 finding
minor“complaints were not always recorded in a centralised location, to monitor trends and patterns. In addition, negative feedback was not centrally recorded for analysis.”