critical“Care plans were mainly task focused and the language used was often a list of instructions... there was contradictory information about people's care needs.”
medication management
1 finding
critical“For a person who required 'as and when required' (PRN) medicines, there was no clear guidance and/or PRN protocols in place for staff.”
governance
1 finding
critical“The current systems in place were not robust enough to assess and monitor the service. This was a breach of regulation 17 (Good governance).”
record keeping
1 finding
moderate“A person was prescribed a barrier cream in March 2023, however the MAR sheet and care records had not been updated to reflect this.”
supervision appraisal
1 finding
moderate“Staff received some formal supervision and appraisals... however records showed these were not done on a regular and consistent basis.”
person centred care
1 finding
critical“Aspects of people's care were not person centred and did not reflect how people should be supported safely in accordance to their specific needs. Breach of regulation 9.”
cultural competency
1 finding
minor“In one person's care plan, it stated they were a devout Muslim... there was no information for staff on whether the person needed support to practice their faith.”
communication with families
1 finding
minor“For one person, English was not their first language... there was no further information detailing how staff should communicate with them.”
staff competency
1 finding
moderate“Medicine competency assessments for staff had been completed, however these covered generic areas and did not focus on people's individual needs.”