critical“some risk assessments contained limited information on what the potential risks were and measures in place to mitigate the risks to people.”
moderate“there were falls protocols in place for five people at risk of falls, however these were all identical in content and not specific to people's needs.”
missed or late visits
1 finding
moderate“[Person] has also had a few missed calls over the months. There have been about six or so in total”
staffing levels
1 finding
moderate“Some improvement was required with the deployment of staff as we received mixed feedback from people and relatives about punctuality particularly at weekends.”
infection control
1 finding
moderate“I am slightly concerned that sometimes they [staff] used the same gloves after personal care and then proceeded to wash me. I have sometimes had to ask them to change gloves.”
communication with families
1 finding
moderate“I would recommend them, but they really need to up their game on the communications generally and especially with staff.”
leadership
1 finding
minor“I don't know anyone at the office…I haven't the foggiest idea who the manager is.”
governance
1 finding
moderate“we found improvement was needed with risk management and although the relevant policies and procedures were in place, there was mixed feedback received in relation to staff deployment and infection control.”