minor“a small number of staff were not up-to-date with their supervisions but the registered manager had a plan in place to address this.”
moderate“One member of staff told us, 'We get supervision every three to six months.' While another member of staff said, 'We have supervision once a year.'”
record keeping
2 findings
minor“a very small number of these spot checks had failed to identify some gaps in the MARs.”
moderate“Merseycare Julie Ann had not consistently reviewed its own care records to ensure that the information had been transferred, or that personal information had been included.”
care planning
2 findings
minor“the small number of old paper-based care plans lacked up-to-date information.”
critical“risk management plans were lacking in detail...one person was identified as low risk of falls, but in the same care record it stated that the person can 'become dizzy often and falls'”
governance
2 findings
moderate“Audit processes had failed to identify issues and concerns relating to the quality and completeness of care plans and risk assessments.”
moderate“no notifications of deaths had been submitted recently...they were unsure about notifying the CQC about deaths because of the nature of the service.”
staffing levels
1 finding
moderate“The staff records relating to people who had transferred from the previous provider were lacking in critical detail. For example, some records did not contain evidence that references had been received.”