critical“1 person's MAR showed they had been given a medicine daily for 6 days when it was prescribed to be given weekly.”
care planning
1 finding
critical“People's care plans were not always accurate and did not reflect the care and support required to meet their needs and keep them safe.”
record keeping
1 finding
moderate“Some care records were not dated so it was not clear which version should be followed. We identified areas for improvement across all of the care records we reviewed.”
staff training
1 finding
moderate“1 staff member had not received updates to their medication or safeguarding training since 2019. The registered manager's training was not up to date.”
governance
1 finding
critical“Audits of care records were not completed. Checks of daily notes assessed the font type and pen colour staff used but did not check appropriate care had been provided.”
incident learning
1 finding
critical“Incidents were not consistently identified, recorded or acted on to ensure people's safety. Incidents were not consistently analysed to ensure lessons were learned.”
safeguarding
1 finding
critical“We saw one safeguarding incident which had been investigated and reported to the local authority but had not been reported to CQC.”
staff competency
1 finding
critical“Recruitment processes were not robust as appropriate checks had not always been completed before staff started employment. No interview records were completed.”