critical“Staff did not always record when topical medicines such as creams were given...time sensitive medicines were not given as prescribed.”
care planning
1 finding
critical“Risk assessments did not always include detailed information about specific risks such as diabetes and catheter care.”
governance
1 finding
critical“Medication audits highlighted recording issues however, issues had not improved as we continued to see medication errors whilst on inspection.”
record keeping
1 finding
moderate“Action plans were not detailed and repetitive. Most outcomes included sending a message to remind staff of the issues found.”
staff training
1 finding
moderate“Staff were not always trained to support people with specific needs including catheter care, diabetes and learning disabilities.”
supervision appraisal
1 finding
moderate“Staff supervisions did not always happen in relation to the providers policy.”
incident learning
1 finding
moderate“We did identify one incident which had not been reported to the CQC.”
complaints handling
1 finding
moderate“One person we spoke with told us they had made several complaints however, there was no record or evidence of actions taken by the provider.”
staffing levels
1 finding
minor“Staff told us they did not always get a rota in advance...I only received today and working tomorrow, and it's not done for then yet.”