moderate“The provider did not always have clear oversight of the care being provided by staff.”
moderate“The provider did not have a formal policy or procedure in place with third parties for the oversight of the actions of staff.”
care planning
2 findings
minor“While people's needs and choices were assessed, the care plan completed by the provider required more specific information.”
minor“In the care plan the provider developed, the person's personal history was not included and there was limited information on their interests.”
communication with families
2 findings
minor“Another relative felt they were not engaged with by the registered manager.”
minor“The registered manager was not aware of the Accessible Information Standard”
medication management
1 finding
minor“Medicines were managed safely but some information around administration was not recorded.”
record keeping
1 finding
minor“administration was recorded on daily notes rather than a medicines administration record (MAR). The person's care plan also did not include information around use of the nebuliser.”
staff training
1 finding
minor“We did identify one staff member had not received training around epilepsy and this was identified as a risk to the person they supported.”
complaints handling
1 finding
minor“The provider did not always give relatives information on the official complaints process which was outlined in their complaints policy.”