critical“The provider had not operated an effective system to enable them to assess, monitor and improve the quality and safety of the service provided.”
critical“During the inspection, there was no evidence audits had been completed since March 2021.”
missed or late visits
1 finding
moderate“People told us staff were sometimes late to visits, "sometimes they can turn up rather late"”
staffing levels
1 finding
moderate“Due to staff shortages, some staff told us that there was not always enough time between visits.”
staff training
1 finding
minor“safeguarding for adults and children was completed by all staff it was refreshed every two years. Best practice recommends safeguarding training should be refreshed annually.”
medication management
1 finding
minor“Where people were prescribed 'as required' (PRN) medicines, there was not always an individualised protocol which explained to staff why the medicine would be given”
consent capacity
1 finding
minor“The service was not completing the capacity document within the care plan although people's capacity was documented elsewhere.”
record keeping
1 finding
minor“One staff file did not include evidence of conduct at a previous role within health and social care.”