critical“Some people's care plans stated that family members managed and administered the person's medicines but the MAR and daily records showed that staff were administering them.”
missed or late visits
1 finding
moderate“Three people had experienced missed calls which they had not always been given notice of.”
care planning
1 finding
moderate“One person's care plans stated they were continent but the daily records showed staff were supporting the person to use continence aids.”
safeguarding
1 finding
critical“There had been a two-day delay in one safeguarding concern being reported to management who in turn had not reported the concern to the local authority until four days later.”
governance
1 finding
critical“Dates had been inputted onto the providers system indicating that people's care plans had been reviewed...but these had not always taken place.”
record keeping
1 finding
moderate“Records about medicines were not all up to date and accurate...the balance of medicines in stock or brought forward from the previous month had not always been entered onto the MAR.”
person centred care
1 finding
moderate“The number of different staff delivering their care was having a negative impact on the continuity of their care.”
supervision appraisal
1 finding
minor“They had identified gaps for some staff where records of the supervision meetings had not been maintained.”
communication with families
1 finding
moderate“Care staff told us that they had been using their mobile phones to share information about people's needs. This method of communicating and sharing information was not secure.”
leadership
1 finding
moderate“The service did not have a registered manager...A new manager had been employed and was working one day a week.”