critical“staff had signed that a cream had been applied to a person on 5 different days, but staff had previously recorded, the cream had not been available.”
critical“A person had been prescribed medication to treat high blood pressure. The MAR chart indicated the person had not taken the medicine for 18 days.”
staff training
1 finding
critical“not all staff employed at the service had received all mandatory or refresher training...safeguarding, dementia awareness, epilepsy awareness and moving and handling training”
supervision appraisal
1 finding
critical
“Staff did not receive regular support in the form of a supervision or spot checks...no effective arrangements in place to monitor staffs' practice, performance and professional practice.”
safeguarding
1 finding
moderate“Not all staff had received up to date safeguarding training, including the registered manager.”
governance
1 finding
critical“No system was in place to make sure staff's recruitment files, induction, training and supervision data were audited to ensure these were in line with regulatory requirements.”
incident learning
1 finding
critical“there had been occasions whereby statutory notifications had not been sent to CQC as required.”
care planning
1 finding
moderate“Risk assessments which had been completed to provide staff with guidance on how to keep people safe and minimise risks had not been reviewed or updated.”
end of life care
1 finding
minor“People's support plans did not include any information relating to people's end of life wishes.”
complaints handling
1 finding
moderate“I just get on with my work. I don't make any complaints even if I wanted to as I just don't think the management are very approachable and would listen.”
staff competency
1 finding
critical“Not all staff had completed medication competency assessments before supporting people with medication.”
record keeping
1 finding
moderate“gaps in recruitment files, such as not having an application form containing full employment history, an incomplete health declaration and not all references received had been verified.”
missed or late visits
1 finding
minor“A lot of the time they're late, big issue is time keeping which is atrocious on occasions.”