critical“The provider's audits to monitor the quality of the service were not consistently effective in identifying issues.”
record keeping
1 finding
moderate“We found inconsistencies in care records and changes to some people's health conditions had not been reflected in care plans.”
medication management
1 finding
moderate“Audits conducted had not identified the gaps we found in one person MARS charts.”
staff training
1 finding
moderate
“We also found inconsistences in training records with some staff members training expired and requiring updates or refreshers.”
safeguarding
1 finding
minor“We found improvements were required to DBS risk assessments to ensure they were specific to the individual concern and how that could potentially have an impact on people.”
staff competency
1 finding
minor“improvements could be made to the recorded information gathered after completing a competency check such as themes, lessons learned, and action taken following a competency check.”