critical“one specific occasion when a person scheduled to receive care and support from two care staff was visited by only one staff member”
missed or late visits
1 finding
critical“21% of calls during this month did not have any designated travel time... one care worker did not have travel time for 108 out of 266 visits”
care planning
1 finding
critical“some people were placed at risk by the provider when they did not receive care from two staff members together, as the provider was not following the person's agreed care plan”
governance
1 finding
critical“Systems to monitor aspects of the quality of the service were not sufficiently robust as we found many examples of care staff having insufficient time to travel between calls”
record keeping
1 finding
critical“a care worker logged out of a person's home 2.44 kilometres away from the known address... records showed this journey was made instantaneously”
leadership
1 finding
moderate“At the time of our inspection there was not a registered manager in post and the provider had commenced recruitment for a new manager”
incident learning
1 finding
moderate“issues which were not thoroughly addressed to facilitate effective learning... the provider had not fully investigated and established the significance of a care worker logging in at a precise distance away”