moderate“untimely call times, as stated by relatives and observed in records, were not identified through the provider's quality assurance systems.”
moderate“Quality assurance tools had not identified where the provider had failed to ensure all staff had appropriate references in place.”
missed or late visits
1 finding
moderate“4 relatives told us a number of calls had been untimely as they had been early or late for up to an hour...One relative said this had caused an issue for their family member who needed regular call times to eat.”
staff training
1 finding
moderate
“for 1 staff member out of the 3 records reviewed a reference from a previous health and social care employer was not in place.”
incident learning
1 finding
moderate“Where concerns were identified in staff spot check records, these were not followed up to ensure improvements were made.”