critical“The provider did not ensure systems and processes to assess, monitor and improve the quality of the service were implemented.”
medication management
1 finding
moderate“Records held about the person did not contain information about the medicines they were prescribed...care plan stated the person managed and administered their own medicine, however staff were responsible for the administration of some medicines.”
care planning
1 finding
moderate“Inconsistences in the care plan and delivery of care had not been identified. The care plan stated staff were not required to support with medicine. However, staff did administer eye drops.”
supervision appraisal
1 finding
moderate“There were no records to evidence what had been observed or whether the member of staff was competent in their role...A system was not in place to evidence supervisions were scheduled.”
staff competency
1 finding
moderate“The provider had not implemented a system to record and plan the ongoing assessment and monitoring of staff's competence, through supervision and appraisal.”
record keeping
1 finding
moderate“There was no documentary evidence to support the meeting had taken place, the issues discussed or its outcome...no records kept capturing their views or observations.”
staffing levels
1 finding
minor“Staff's employment history was not fully documented, and references provided by previous employers did not detail the role of the person who had provided the reference.”