moderate“the provider had failed to ensure their governance systems were effectively operated to monitor the quality and safety of the home care service people received”
critical“Audits conducted of incidents and complaints were not effective in identifying patterns and trends.”
incident learning
2 findings
moderate“outcome of the providers satisfaction surveys and audits...were not always analysed to identify emerging trends and patterns”
moderate“the nature of the incident was not always clear and the quality assurance audits completed were not used to identify any patterns and trends.”
care planning
1 finding
moderate“Care plans for people using the service were not always regularly reviewed.”
end of life care
1 finding
moderate“People were not always supported to express their wishes in relation to end of life care preferences.”
missed or late visits
1 finding
moderate“No they're not on time – always about 10 to 15 minutes late...They've been consistently late since Christmas.”
communication with families
1 finding
minor“office staff were not consistent in communicating lateness to people.”