critical“we found safeguarding concerns which had not been documented on the log. For some safeguarding concerns, it was not clear which authorities had been notified, what action had been taken”
governance
1 finding
critical“The provider had not ensured effective processes were in place to monitor the safety and quality of the service. This was a breach of Regulation 17 (Good governance)”
medication management
1 finding
moderate“some relatives told us people's medicines were not always consistently timed due to the variation in the times of their care visits. Other relatives told us people's medicines had not always been accurately documented”
missed or late visits
1 finding
moderate“We are not given a timetable of when the carers are supposed to come in, it can be 7:30am or it can be any time up until 10:30am”
staffing levels
1 finding
moderate“Staff told us they did not always feel there were enough staff available in some areas and this meant they were sometimes rushing.”
record keeping
1 finding
moderate“some incident forms had not been completed appropriately and lacked detail”
care planning
1 finding
moderate“there was a lack of information about people's health conditions and the risks associated with these”
communication with families
1 finding
minor“Relatives told us information was not always accurately recorded in people's care documentation and communication between the management team and care staff did not always seem effective.”