moderate“the level of support people received had not always been accurately recorded... more time was required to demonstrate consistency in this improved practice”
critical“one medication administration record (MAR) for August 2015 did not include the name or dosage of medicines...gaps on the record for six days where staff had not signed”
governance
2 findings
moderate“the provider had not always clearly recorded the issue identified by their audits... it was difficult for the provider to monitor progress with the issues that required resolving”
critical“the most recent check on people's care plans in February 2016 had failed to identify issues we found at the inspection...audit process was ineffective”
record keeping
2 findings
minor“the findings in relation to audits were recorded amongst other daily monitoring checks”
moderate“training and supervision schedule we looked at had four staff members missing from the records...Complete and accurate records relating to each service user were not always maintained”
care planning
1 finding
critical“risk assessments were not always dated and it was not always evident they had been reviewed...support plan was last reviewed in October 2014”
staff training
1 finding
moderate“three staff members had not had first aid training since 2012...Twelve of the 37 staff members had not received any manual handling training in the past year”
supervision appraisal
1 finding
moderate“Staff did not receive one to one supervision to support them in their duties...supervision did not always take place regularly in line with the provider's requirements”
staff competency
1 finding
critical“application forms did not always include a full work history...Photo identification had not always been checked or copies taken. Two of five staff files...did not contain any photo identification”
person centred care
1 finding
minor“One person's support plan did not detail what support was required at each visit. The support plan was task focused and not person centred.”