minor“Systems measured the quality of the care provided by the service. Some of these lacked detail about issues such as timeliness of call times.”
critical“Systems were not in place to effectively assess, monitor and improve the quality and safety of the service and there was a lack of management oversight in relation to care plans and care records.”
missed or late visits
1 finding
minor“Timely calls were not always in place to provide people with the personal care they needed. The registered manager swiftly followed up this issue with a small number of people.”
care planning
1 finding
critical
“Care plans did not include sufficient information to support safe care. For example, one person had been assessed as requiring a hoist to transfer. Their care plan lacked details of what type of hoist, size and type of sling was to be used.”
record keeping
1 finding
critical“Audits and checks did not identify the issues we found during the inspection including insufficient information in people's risk assessments and care plans and out of date policies and procedures.”
staff training
1 finding
moderate“Staff had not completed training in other areas to enable them to meet people's individual needs safely, for example catheter care.”
supervision appraisal
1 finding
moderate“The registered manager told us staff had received one to one supervision meetings. However, these had not been documented.”
consent capacity
1 finding
moderate“Where people's mental capacity fluctuated, care plans did not include an assessment of their mental capacity to support effective decision making and ensure best interest processes were followed.”
safeguarding
1 finding
minor“The provider's safeguarding policy and procedure required review and update to reflect current guidance and local safeguarding protocols.”
infection control
1 finding
minor“The provider had an infection control policy in place but this had not been updated for some time and did not make any reference to current infections, including COVID-19.”