minor“it was not always clear how the provider had carried out the assessments...the provider summarised the risks and the management plan within the care plan without showing their full assessment.”
minor“the provider had not always completed infection risk assessments in relation to their staff team.”
missed or late visits
1 finding
moderate“We had a few problems in the beginning with lots of different carers turning up, sometimes late or not at all, but since [name of registered manager] has been in charge these issues have ceased.”
leadership
1 finding
moderate
“We had specific concerns about the way the service was managed in the past because they did not have a suitably competent person registered with us.”
medication management
1 finding
minor“the provider had significantly reduced the number of incidents of staff failing to sign for medicines they administered on half of being using the service”
complaints handling
1 finding
minor“records showed the provider did not always record the action they took in response to complaints and the outcome, including whether people were satisfied, to ensure a complete audit trail.”
governance
1 finding
moderate“The service did not have a registered manager in post...two managers were in post who had both begun the process to register with CQC.”
infection control
1 finding
moderate“no recorded risk assessments or management plans were available in respect of staff deemed to be in high COVID-19 risk groups, such as staff who were members of Black, Asian and Minority Ethnic (BAME) groups.”