moderate“Medicine administration records (MAR) contained gaps where staff had not signed to evidence they had administered prescribed medicines.”
moderate“When people had 'as required' (PRN) medicines prescribed, records were not always completed to evidence the reason the medicine was administered.”
staff training
2 findings
moderate“Not all staff had received training in safeguarding”
moderate“staff were still waiting to receive the appropriate training before they could use the pieces of equipment.”
record keeping
2 findings
moderate“Some recruitment records required improvement to clearly show identification checks had been verified and documents relating to recruitment had been signed by the employee.”
moderate“records relating to the induction were not in place for all staff. For example, some staff had induction and shadow shift check lists, some staff had no records relating to their induction.”
governance
1 finding
critical“The provider failed to ensure effective and robust quality monitoring systems were in place to ensure they had good oversight of the service.”
infection control
1 finding
moderate“There were poor hygiene practices in place relating to the disposal of waste products and this put people at risk of cross contamination.”
care planning
1 finding
moderate“Not all care plans contained person-centred information within them. For example, some care plans had limited personalised information recorded”
consent capacity
1 finding
moderate“mental capacity assessments and best interest decisions required more detail to show how judgements were reached.”
person centred care
1 finding
critical“People did not always have their dignity upheld... One relative commented, '[Person] felt completely degraded, it was shocking.'”
communication with families
1 finding
minor“sometimes you do not know who is going to come, we aren't always told about changes.”
leadership
1 finding
moderate“People and their relatives had not been asked to formally feedback on the quality of care people received.”