critical“Data from the electronic monitoring system showed that there were a significant number of occasions when staff were late and/or not staying at the person's home for the required length of the call.”
critical“Effective systems were not established or operated to ensure that staff arrived on time for visits or for monitoring staff punctuality. This potentially placed people at risk of harm.”
medication management
1 finding
critical“The provider did not have effective systems in place to ensure that medicines were always managed in a safe way. This potentially placed people at risk of harm.”
record keeping
1 finding
moderate
“we identified some shortfalls in terms of recording the exact medicines given in five out of seven charts we reviewed.”
governance
1 finding
critical“the provider did not have effective quality assurance and monitoring systems in place. This placed people at risk of harm. This was a breach of Regulation 17 (Good governance)”
staff competency
1 finding
moderate“Records showed for one member of staff they had a criminal conviction. However, the provider had not followed up with the person what the conviction was for.”