moderate“Audits did not check call times or whether the care provided was always consistent with care plans.”
minor“there was no analysis of surveys to identify trends and see if action needed to be taken.”
care planning
1 finding
moderate“The care plan contained information for the type of food needed for the person but not how to encourage the person to eat.”
staffing levels
1 finding
moderate“one relative who reported staff did not always arrive at agreed call times. Another relative said at times staff were late and there had been no phone call to alert them.”
staff competency
1 finding
moderate“references for one staff member had not been sought from a previous care employer, which could have revealed issues of concern.”
infection control
1 finding
minor“Everyone, except one relative told us staff wore personal protective equipment (PPE) during the COVID-19 pandemic.”
supervision appraisal
1 finding
minor“spot checks had not been frequent for some staff as one staff member had only one spot check in the past 12 months.”