moderate“records relating to people's personal monies were not always clear. There was no evidence of audits carried out of personal finance which was being managed by the provider.”
minor“daily records showed what support people received it did not detail the time spent with individuals which made it impossible to evidence that people were receiving their allocated support hours”
medication management
1 finding
moderate“some people were prescribed pain relief when needed. There were no instructions for staff to identify pain in people who may not be able to express the need for these medicines verbally.”
care planning
1 finding
moderate
“risk assessments and care plans did not always give clear information about how to manage individual risks. For example, one risk assessment stated that staff should be aware of triggers, but these were not identified.”
governance
1 finding
critical“Quality assurance systems were not always effective in identifying shortfalls and planning improvements...This is a breach of regulation 17 (Good governance) of the Health and Social Care Act 2008.”
incident learning
1 finding
moderate“All incidents and accidents were recorded and analysed on a monthly basis...but these actions were not formally recorded.”
safeguarding
1 finding
moderate“Before the inspection we received concerns about how personal finances were managed by the provider...Improvements were needed to ensure clear records were available to identify the reasons for transactions.”
complaints handling
1 finding
minor“Complaints were recorded and there was evidence they had been discussed with the complainant. However, actions taken were not always recorded.”