moderate“staffing schedules had little or no travel time included...having no travel time allocated meant staff were either leaving a visit a few minutes early or arriving slightly late.”
communication with families
1 finding
moderate“"The timings are quite erratic. Sometimes they'll ring [relative], sometimes they [staff] won't" and "There is no rotas so the timings are a bit up in the air."”
record keeping
1 finding
moderate“Some staff had recorded a wrong entry on the medicines administration record when people had declined their medicine...staff had recorded the medicine was not available.”
medication management
1 finding
minor“Newer staff had been struggling with the electronic recording system so additional support was being provided to overcome this.”