moderate“"I feel safe when I know what time someone's coming so no I don't feel safe when I am waiting and worrying"”
critical“During November 2018 the registered manager notified us of three incidents where peoples scheduled call had been missed.”
governance
1 finding
moderate“a report dated 17 October 2018 noted 'complete out of date supervisions and appraisals'. But there was no entry on the following report to evidence this action had been completed.”
record keeping
1 finding
moderate“none of the care records we reviewed contained details of people's individual medicines. Therefore there was no method to enable the auditor to check the transcribed information on the MAR was accurate.”
medication management
1 finding
moderate“A member of staff had written on the MAR to instruct staff the two medicines should not be administered at the same time... the medicines had been given at the same time on at least six occasions.”
complaints handling
1 finding
moderate“"I don't bother complaining because nothing changes", "I have rung up before and they say they will sort things but nothing changes"”
person centred care
1 finding
moderate“survey evidenced key areas of concern being a lack of consistency with care workers, failing to tell people when staff were going to be late and the management of complaints.”
consent capacity
1 finding
moderate“a person whose medicines were kept securely so the person could not access them. We checked their care records but there was no evidence an assessment of capacity had been completed.”
supervision appraisal
1 finding
minor“a report dated 17 October 2018 noted 'complete out of date supervisions and appraisals'.”