critical“People's medicines were not always managed safely. Care plans contained conflicting information about the level of support people required to take their medicines.”
moderate“Staff received training in the administration of medicines, however, their competency had not been assessed in line with best practice guidance.”
record keeping
2 findings
critical“The provider did not obtain a full employment history when recruiting staff and gaps in employment were not explained.”
moderate“References from previous employers were not always obtained before people started work.”
infection control
2 findings
moderate“The provider was not doing all they could to prevent and control infections as staff were not carrying out regular COVID-19 tests according to current government guidelines.”
moderate“The provider had also not assessed the risk of COVID-19 for people receiving care or staff.”
staff competency
1 finding
critical“The provider did not follow safe recruitment processes to ensure staff were suitable to work with people with health and social care needs.”
governance
1 finding
critical“There were quality assurance processes in place but these were not always effective as they had not identified the issues we found with risk assessments, medicines support and recruitment files.”
care planning
1 finding
moderate“staff were no longer supporting this person with medicines, but the care plan had not been updated to reflect this change.”