moderate“There were no audits of staff rotas which would have identified not enough travelling time had been allocated.”
moderate“No analysis of these was taking place to see if there were any common themes or trends emerging.”
moderate“We did find shortfalls in some audit processes around care files and medication, however the registered manager was aware of these and was working on the process.”
missed or late visits
2 findings
moderate“They started coming very late of an evening, they're supposed to come at 8pm but it's past 9pm now, no one rings to say they will be late.”
moderate
“people and their relatives said they had received late calls and staff did not always stay for the allocated time”
supervision appraisal
1 finding
moderate“Supervision records were not audited and we saw an issue had been raised in supervision by one care worker, which had not been followed up.”
staff competency
1 finding
minor“The registered manager acknowledged more 'spot checks' needed to be made to make sure staff were applying their training to their practice.”
communication with families
1 finding
minor“They don't ring me to tell me if they are late or anything.”
medication management
1 finding
moderate“some entries used the code 'O' (other) rather than being specific what 'O' meant...we were unable to determine if the medication was not required or had not been administered”
consent capacity
1 finding
moderate“some contracts were not signed...There was not sufficient evidence to confirm the organisation had taken all reasonable steps to obtain agreement from the person receiving the service”
care planning
1 finding
minor“there was little information about people's likes, dislikes and life histories. End of life information was not always discussed or thought of during the care planning process”
end of life care
1 finding
minor“All except one care plan we looked at did not refer to any end of life wishes.”