critical“Care plans did not give clear guidance and instruction on the use of equipment...no guidance on the level of support staff should provide.”
medication management
1 finding
critical“MAR (Medication Administration records) were not in place to record the application of prescribed creams...no body maps to give guidance to staff of where to apply the creams.”
governance
1 finding
critical“Systems in place to assess, monitor and improve the quality and safety of the services provided were not always effective.”
record keeping
1 finding
moderate“The cover sheet recorded no errors, however, when we checked the audit there were gaps (no record of administration) on 3 separate days.”
complaints handling
1 finding
moderate“Records did not include a complaint made by 1 relative...the call had not been recorded, either as a complaint or in the providers daily communication log.”
consent capacity
1 finding
moderate“The person's care plan showed the person had capacity, however there was no record of their agreement to this restriction or any discussion about less restrictive options.”
safeguarding
1 finding
moderate“Where people were at risk of seizures, there was limited guidance for staff to identify practical ways for reducing risk and limited guidance on the actions to take.”