critical“Care plans did not always provide clear information as to the medicines people were taking where the staff where responsible for administering them.”
moderate“The electronic system was not adequately monitored as information was confusing and incorrect. For example, there were system errors when two staff signed in.”
care planning
1 finding
critical“Some people's care plans were not clear and did not always provide context as to how to support a person with their care and any risks identified.”
governance
1 finding
critical
“The service did not have robust processes to monitor the quality and safety of the service. This was a breach of Regulation 17.”
record keeping
1 finding
moderate“Some staff had only written basic information about tasks completed and 'All well'. This did not provide detail about how the person was or any observation of their physical or mental health.”
staff competency
1 finding
moderate“Training to support people who had specific needs such as diabetes, epilepsy and learning disabilities and autism had not been provided.”
consent capacity
1 finding
moderate“We noted in many of the care plans we saw that people had not signed their consent to the care arrangements, as some said 'UTS' (unable to sign).”
staff training
1 finding
critical“Systems were not in place for the safe recruitment of staff. This was a breach of regulation 19 of the Health and Social Care Act 2008.”