critical“a potential safeguarding concern had not been reported to the local authority safeguarding team”
care planning
1 finding
moderate“the support and goal plan for two people recorded they were being supported to use the stairs but there was no assessment to reduce the risk of harm”
medication management
1 finding
moderate“Information for supporting people with medicines was not always clear...There was insufficient information recorded regarding the management and application of people's creams.”
staff competency
1 finding
minor“one support worker had not had an assessment as the call they completed when they were spot checked did not include medicines support”
governance
1 finding
critical“There were no completed audits in the folders for April, May and June 2018. There were no folders to evidence any audits had been completed between July and November 2018.”
record keeping
1 finding
moderate“some completed records were not always returned to the service. This meant not all records could be reviewed and audited to ensure people received consistently safe and effective care.”