critical“The sample of extra care records we reviewed did not evidence the safe administration of these medicines. These people's support plans and medicine administration records (MAR) lacked detailed instructions”
care planning
1 finding
moderate“Some people's risk assessments lacked personalised detail, particularly for people using extra care housing or receiving care in their own homes.”
record keeping
1 finding
moderate“One person's care plan described them as having a catheter; this was not the case. Another person's support plan described them as using a walker however...they used a wheelchair.”
missed or late visits
1 finding
moderate“10 care workers had a visit punctuality of less than 50% and three care workers had a punctuality of less than 30%.”
person centred care
1 finding
minor“Some care plans referred to people by the acronym 'SU' meaning service user, which was not respectful or empowering language.”
governance
1 finding
moderate“Audits identified individual records which required more person-centred detail...but did not fully identify the wider concerns we found.”