critical“when we checked the stock balance of medicines these were not always accurate with what had been administered. There were a lack of records stating what the overall stock balance should be.”
moderate“some topical creams and liquid medicines had not been dated when they were opened. This meant there was a risk these could be used after their expiry date.”
moderate“We saw no evidence that medicines checks were being carried out to ensure the management arrangements for medicines were sufficient or that staff competency was being checked.”
care planning
2 findings
moderate“care plans did not always contain accurate information about people's risks...some risk assessments lacked detail about what special equipment people needed or how staff should monitor”
moderate
“some of these were not always person centred. Some people's care plans did not contain detailed information about their goals, aspirations, and development of life skills.”
governance
2 findings
critical“medicines audits were ineffective as they did not identify stock count inaccuracies. Kitchen audits and cleaning schedules did not identify rust in the microwave.”
moderate“Cleaning rotas were not being regularly monitored and checked and as a result we saw areas of the home which had not been regularly dusted and cobwebs had gathered.”
record keeping
1 finding
moderate“Some of the daily records did not always clearly detail what de-escalation methods were used before medication and other interventions were used.”
infection control
1 finding
minor“some areas of the care home and some supported living houses where the integrity was compromised due to wear and tear. This would impact the providers ability to prevent infections.”
staff competency
1 finding
moderate“I have not had my competency checked since... Another member of the staff told us they had not had their competency checked in over 12 months.”
staffing levels
1 finding
minor“Over a weekend when more people were in the home due to the respite service there was no indication that staffing levels were being adjusted based upon people's needs.”
staff training
1 finding
minor“It was clear that while training was available not all staff had completed the MCA training and DoLS training was in the process of being delivered.”