moderate“Medicines were not always administered safely. One person had been prescribed medicines to be administered as required (PRN)...the registered manager told us they had never administered PRN to this person, but the person's relative confirmed staff had administered PRN.”
consent capacity
1 finding
critical“We identified two people who were assessed as having capacity...but their relatives had signed all paperwork on their behalf but there were no records to show why this was done.”
governance
1 finding
critical“The provider was not always operating effective systems and processes to assess, monitor and improve the quality and safety of the service.”
record keeping
1 finding
moderate“The registered manager did not have effective procedures in place for recording, storing, and accessing information.”
safeguarding
1 finding
moderate“The provider had failed to notify the CQC of an incident in a timely manner. Once the inspection was announced the provider sent in the required notification.”
care planning
1 finding
moderate“One person's risk assessment did not provide staff with the correct information to provide care in a safe way.”
communication with families
1 finding
minor“Relatives felt that they received their care on time from regular care staff, but they told us they were not always informed when care staff were running late.”