critical“The registered managers and provider had not always report safeguarding concerns or allegations to the local safeguarding team or the CQC.”
medication management
1 finding
moderate“Not all people's medicines administration records (MARs) were complete or accurate. Where people were supported with medicines that had to be administered before food, the time they had been administered had not been recorded.”
infection control
1 finding
moderate“Some staff did not adhere to their training or the provider's policy, such as when putting on their PPE before entering people's homes. This created a risk of cross contamination.”
governance
1 finding
moderate“Audits of the electronic care records systems had not yet identified that staff were not always recording the time they had administered medicines where this could affect people's safety.”
incident learning
1 finding
critical“1 reportable incident had not been reported to the local authority or CQC where people were at risk of harm.”
staff competency
1 finding
moderate“Due to the deployment of staff who did not fully understand safeguarding procedures had resulted in a safeguarding matter. The provider acted on this oversight. However, a lack of effective processes to ensure only suitable staff were deployed meant another incident occurred.”