moderate“risks related to choking, diabetes and catheter care... staff did not have specific information to refer to... risk management was not personalised to the individual.”
missed or late visits
1 finding
moderate“The carers should arrive for 7.00am so I then have time to get to my hospital appointment, but often they arrive at 7.45am which is too late.”
record keeping
1 finding
moderate“one person's care plan directed staff to prepare 'mashed' food but later referred to 'pureed food' being required.”
staff competency
1 finding
moderate“Some staff are unsure about the hoist, so I help them with it. A staff member: New staff don't always know how to use the hoist or a slide sheet.”
governance
1 finding
moderate“The provider's systems and processes had not identified potential risks to people. Staff were unable to refer to detailed person specific risk management plans.”
communication with families
1 finding
moderate“Whilst the care staff communicate well with us, the office staff do not. Another person told us, The office staff and management are awful.”
complaints handling
1 finding
minor“one person had complained about a care staff member. Despite office staff giving them assurances that the staff member would not be sent to them again, the staff member was.”
safeguarding
1 finding
minor“one staff spoken with was unable to recall knowledge from their safeguarding training or what they should do if they suspected abuse.”
supervision appraisal
1 finding
minor“spot checks that took place to ensure staff had the skills they needed were not consistently effective in relation to new staff.”