critical“one person did not have their allergies recorded on their MAR, medicine names were spelt incorrectly and incorrect doses were handwritten on the MARs.”
record keeping
1 finding
moderate“Body maps to help with the application of creams were in place but had not been completed.”
missed or late visits
1 finding
critical“people did not receive care at the time identified in their care plan...gaps which were either too short or too long between calls...occasionally calls had not been recorded at all.”
staff training
1 finding
moderate“staff did not always complete mandatory training courses in a timely manner...evidence of several months passing before staff completed training.”
governance
1 finding
critical“audits did not reflect our findings at this inspection in relation to gaps and inconsistencies within records...rarely included detailed comments in relation to the auditors' findings.”
incident learning
1 finding
moderate“in most incident forms we reviewed, the provider had failed to complete the section which assessed what could prevent the accident or incident reoccurring.”
safeguarding
1 finding
moderate“some staff were not sure who they would contact outside of the provider if they had safeguarding concerns. 'I don't know who to ring outside of the company.'”
care planning
1 finding
minor“some care plans would benefit from additional detail to improve the level of person centred information for staff to follow.”
staff competency
1 finding
critical“staff recruitment records were incomplete...provider had not completed risk assessments to ensure the suitability of candidates to work with vulnerable adults and children.”
consent capacity
1 finding
minor“Some staff's understanding of the MCA was limited.”
supervision appraisal
1 finding
moderate“entries into spot check and supervision records where the provider identified the same issue for several consecutive months with the same members of staff.”