critical“I received 30 mins of training in the office on the first day, then that was it, I was sent out to work”
staff competency
1 finding
critical“One lady nearly fell out of a hoist. I was sent out without any training”
governance
1 finding
critical“on one person's medicines administration record (MAR) between 1 March and 25 April 2021, there were 29 missing staff signatures”
record keeping
1 finding
moderate
“The provider's MAR chart format was not in line with best practice recommendations. The format used did not ensure each individually prescribed topical cream was separately listed”
medication management
1 finding
moderate“on one person's MAR for 1 February to 28 February 2021, there were six days where there were no recordings for the administration of the three topical creams prescribed”
supervision appraisal
1 finding
moderate“There was no training or induction programme for the manager or senior staff. This meant that there was no clear structure of support to help integrate the new manager”
staffing levels
1 finding
minor“there was a reliance on the manager and care coordinator to deliver a significant number of care calls... impacted on the time they could spend carrying out their role overseeing the service”