moderate“1 person's specific medicine was not signed for all of February 2023...another medicine from 9th to 12th February 2023 with no explanation on the MAR”
moderate“Some people were prescribed PRN (as required) medicine, but it was not clear if they received their medicines when required...in some cases was left blank”
missed or late visits
1 finding
critical“staff were late for 10% of scheduled calls (1539 calls) by more than 45 minutes and 28% of scheduled calls (4388) were over 15 minutes late”
staffing levels
1 finding
critical
“we found some calls were scheduled for staff to be in 2 places at the same time...17.7% of calls had no travel time allotted between two postcodes”
governance
1 finding
critical“provider audits failed to identify and make improvements in relation to staff deployment, late calls, call monitoring, and medicines management”
record keeping
1 finding
moderate“1297 calls were not logged...a large proportion of calls we don't know whether they happened and or whether people received the care they were supposed to”