critical“For three people, who were cared for in their own homes there were no care plans or risk assessments in place.”
record keeping
1 finding
critical“An accurate, complete and contemporaneous records in respect of each person's care were not always maintained.”
staff competency
1 finding
critical“Safe staff recruitment practices were not in place to reduce the risk of unsuitable staff from being employed.”
governance
1 finding
critical
“The provider did not always operate effective systems to monitor, assess and improve the quality of service they provided.”
infection control
1 finding
moderate“An external organisation identified a "low" risk of legionella in the home's plumbing systems in February 2022... A comprehensive record was not available”
medication management
1 finding
moderate“Following a medicine error in August 2022, the provider had completed refresher medicine competency checks to ensure all staff working in people's homes were following their medicine policy.”