critical“Medicines care plans and risk assessments had not been developed and completed in line with best practice guidance. Staff medicines competency assessments had not been completed.”
care planning
1 finding
critical“Risks to people were not always assessed and documented appropriately to ensure people's safety. Staff did not always have access to identified risk management information.”
consent capacity
1 finding
critical“The provider failed to work within the principles of the MCA as assessments of people's capacity to make specific decisions...had not been completed.”
governance
1 finding
critical“Audits to regularly monitor and check the quality of the service were not robust or sufficient to alert staff and management of the concerns and issues we found.”
record keeping
1 finding
moderate“Support plans and care records were not always reviewed in line with the provider's policy to ensure individuals' care and support was consistently personalised.”
missed or late visits
1 finding
moderate“Areas of concern relating to time keeping and the duration of care visits from some relatives of people using the service.”
staff competency
1 finding
moderate“Staff medicines competency assessments had not been completed to ensure staff were competent to manage and administer medicines safely.”