moderate“Information for how people would communicate, verbally or non-verbally, if they needed medicines prescribed 'as required' (PRN) was not recorded.”
moderate“Staff had completed online medication training...However, this was not recorded and no further competency checks were made.”
governance
1 finding
critical“The governance systems had not identified the issues we found with; as required medicines guidance, staff medicines competency checks, issues reported about the newer staff interactions with people.”
supervision appraisal
1 finding
moderate
“Formal staff supervision meetings and spot checks were behind schedule.”
care planning
1 finding
moderate“There was no guidance in place for staff to follow in relation to one person's specific needs...Their care plan did not have any guidance for supporting them when they were agitated.”
communication with families
1 finding
moderate“Four out of 9 people or relatives said the less experienced staff did not communicate as much with them during the call.”
leadership
1 finding
moderate“There was little management support for the registered manager for a service supporting over 70 people. The team leader had 1 day per week when they did not provide care.”
person centred care
1 finding
minor“Some of the carers don't say hello when they come in, or say anything. When I said to a carer 'who is it' before I saw them they asked me 'why do I want to know'.”
infection control
1 finding
minor“Some said 'younger staff' didn't always use masks if requested to do so.”