critical“Audits of people's care plans, Medication Administration Records (MARs) and call times were not in place.”
record keeping
1 finding
moderate“Care plans did not always contain enough detail on how to keep people safe.”
medication management
1 finding
moderate“Systems were not in place to audit medicines administration. This meant the provider could not identify concerns with missed or late medications.”
safeguarding
1 finding
critical
“Safeguarding concerns were not always recorded when concerns had been raised. Systems and processes in place for the accurate recording of safeguarding concerns were not robust.”
consent capacity
1 finding
moderate“The provider did not have a good understanding of MCA and people's capacity...the provider had not completed their own capacity assessments.”
supervision appraisal
1 finding
minor“Staff supervisions had not yet started. Staff had only worked for the service for 2 or 3 months, as the service was new.”
care planning
1 finding
moderate“Care plans were task focused, containing basic information around which tasks staff needed to complete for people. Desired outcomes of care...had not always been considered.”
person centred care
1 finding
moderate“People's protected characteristics, such as religion and sexual orientation had been included within the care plans, but no details of how to support people individually.”
complaints handling
1 finding
minor“The registered manager told us about concerns people had raised regarding their care, and how they had responded, but this had not been recorded.”
end of life care
1 finding
minor“Care plans did not include information about people's end of life choices, or how they wished to be cared for.”
communication with families
1 finding
minor“Communication aids such as glasses and hearing aids had not been specified in people's care plans.”