critical“Medication administration records had missing signatures for administration, prescribers' instructions were not always included and medications which required a variable dose had not been recorded.”
care planning
1 finding
moderate“Care plans did not always include guidance on all aspects of people's care needs to ensure support workers were aware of how to provide support safely.”
safeguarding
1 finding
critical“We identified a safeguarding concern and found there had been a delay in escalating safeguarding concerns which increased the risk of harm to a person.”
governance
1 finding
critical“Audits that were in place had been ineffective in highlighting the concerns raised at this inspection. For example, care plan audits did not highlight missing information or risk assessments.”
staff competency
1 finding
moderate“Competency in certain care areas had not been assessed or recorded by the provider.”
record keeping
1 finding
critical“The provider failed to maintain accurate, complete and contemporaneous records.”
incident learning
1 finding
moderate“Systems to monitor the welfare of the people were not robust causing delays in concerns being escalated and addressed.”