moderate“Review of the governance arrangements to assess and monitor the quality and safety of the service found these needed developing to ensure they were effective at identifying and driving improvement”
moderate“The two most recent audits conducted by the registered manager dated July and August 2022 focused on recent staffing issues and action taken but did not include an effective review of other areas”
record keeping
1 finding
moderate“Copies of people's MAR charts were provided, but there was no analysis of these records to ensure they were being competed correctly.”
missed or late visits
1 finding
minor
“confirmed the majority of people received their calls on time, with 29% of calls being 15-45 minutes late.”
staffing levels
1 finding
moderate“Recent staffing issues had impacted on people receiving their allotted calls.”
communication with families
1 finding
minor“people and relatives spoken with said they did not remember completing any feedback forms.”