critical“Systems or processes although established were not always operated effectively to ensure that appraisals and DBS rechecking were monitored and kept up to date.”
incident learning
1 finding
critical“We found that there had been safeguarding issues within the service in February 2016 and that the registered managers had not sent notifications of these incidents to CQC as required.”
supervision appraisal
1 finding
moderate“We noted that in 2015 some appraisals had been missed. We spoke to the provider about this and they said they would rectify this as soon as possible.”
missed or late visits
1 finding
moderate“Staff did not always stay for the full length of the allocated visit time... 'I have a 45 minute call but usually if they finish after 30 minutes they tell me they have to go to the next visit.'”
safeguarding
1 finding
moderate“DBS clearances were not always refreshed in accordance with the service's policy. We found two staff with DBS clearances from 2011 and one staff with a DBS clearance from 2012.”
medication management
1 finding
moderate“five out of 10 medicine administration records (MARS) had not been completed properly. Either the name of the topical medicine administered was missing or there was just a signature”
care planning
1 finding
minor“in five out of 10 care plans that we reviewed some sections were not always updated to detail people's personal routines such as bed time and hot drink preferences”