moderate“seven of these had not been consistently signed or completed by staff. In one example staff had used a code ('o') to indicate that 'other' action had been taken, however it was not documented what this action was.”
care planning
1 finding
critical“care records were not person-centred. The information contained within these was task-led and did not contain information on people's strengths, personal histories, likes, dislikes or preferred daily routines.”
record keeping
1 finding
moderate“one person's care record stated that they had schizophrenia and were alcohol dependent but there was no additional information to show what impact these factors had upon the person.”
governance
1 finding
critical“medication audits had failed to identify where staff had not been signing the MARs appropriately...Audits of people's care records had failed to identify a lack of sufficient information.”
incident learning
1 finding
moderate“An audit of accidents and incidents for people using the service had not been completed. This meant that the registered provider may not be able to pick up on trends.”
person centred care
1 finding
critical“non-regular staff were not always aware that their relative was living with dementia...staff trying to prompt their relative to take their own medication, putting all the tablets in their hand.”
communication with families
1 finding
moderate“some people were unhappy at not being able to get through to the office to amend their service or report a late or missed call”
missed or late visits
1 finding
moderate“people were left waiting for their call, uncertain if the carer was due to arrive”