minor“A sample of medicines administration records (MAR) returned to the office each month was audited, although these did not record what action had been taken if discrepancies were identified.”
moderate“We noted that there were some recording errors identified by these audits. This meant that there was a delay of three months before the provider would identify and address medicine errors.”
staffing levels
1 finding
moderate“Over the summer holiday period there had been pressures on staffing due to leave and sickness...Call times had changed, people had stopped receiving rotas and there was less continuity of staff.”
safeguarding
1 finding
moderate
“An isolated potential safeguarding concern reported to a member of the office staff had not been acted upon.”
governance
1 finding
minor“The service did not have a registered manager in post... the manager had applied to become the registered manager and was awaiting an interview date with the Care Quality Commission.”
incident learning
1 finding
minor“one member of staff told us that they did not always receive feedback from the management team about concerns that had been raised.”