critical“We could not be certain that medicines were being managed safely. Peoples care files did not hold appropriate information for staff in regard to what medication was needed.”
governance
1 finding
critical“There were no systems and processes in place for assessing and monitoring the quality and safety of the service.”
record keeping
1 finding
moderate“Records were not always accurate and complete. Information about people's care and support including their health conditions and medicines was not always complete.”
staff training
1 finding
moderate“New staff with no previous care experience did not have a robust induction...there was no evidence of supervisions or staff practice checks.”
care planning
1 finding
moderate“Information in the care plans was not always consistent for example regarding medicines support.”
supervision appraisal
1 finding
moderate“As the service had been re-started very recently there was no evidence of supervisions or staff practice checks.”
consent capacity
1 finding
minor“Some documentation had not been fully completed however the people we spoke with told us they had agreed to the provision of care.”