critical“Recruitment procedures were not established and operated effectively to ensure the safety of persons employed. Breach of Regulation 19 HSCA RA Regulations 2014.”
moderate“Improvement was needed in the monitoring and reduction of late calls and the oversight of recruitment records.”
staffing levels
1 finding
critical“References had not been taken up for all staff members employed. The registered manager explained that as they employed family members, taking up references had not been necessary.”
missed or late visits
1 finding
moderate
“Usually they come at 8am but we have to phone up when they are late. Times vary, and one concern is they turn up quite late.”
medication management
1 finding
moderate“The information about staff members responsibility to give medicines was confusing... It is unclear what responsibility the staff member had if all medicines were managed and administered by the relative.”
record keeping
1 finding
moderate“The recruitment records were disorganised both on paper and on the computer systems... gaps in the employment history of staff which had not been explained or recorded.”
leadership
1 finding
moderate“The registered manager was not always clear about their role and responsibilities... had not fully understood their legal obligations such as providing statutory notifications.”
person centred care
1 finding
minor“People were not asked during the assessment process their preference for the gender of staff member to provide their care.”
infection control
1 finding
minor“The provider's infection prevention and control policy was not up to date at the time of the inspection but was being reviewed and amended.”