critical“Systems in place to assess, monitor and improve the quality and safety of the services provided were not always effective. This was a continued breach of regulation 17 (Good Governance)”
record keeping
1 finding
critical“The employment application form for 1 member of staff had not been fully completed and there was no record of their employment history.”
medication management
1 finding
moderate“One person needed staff to apply a prescribed cream. This information had not been recorded... Care plans did not include required information about what medicines people were taking and why.”
care planning
1 finding
moderate“Care plans and risk assessments did not give clear and detailed instruction to staff on how to provide safe care and support.”
missed or late visits
1 finding
moderate“Over the last 12 months the provider had received 12 complaints about call times... some calls were shorter than the agreed length of time.”
safeguarding
1 finding
moderate“2 staff we spoke with were not clear on the action to take if they needed to raise concerns externally.”
incident learning
1 finding
minor“There were no records of any accidents or incidents, therefore we were not able to check records to see what action had been taken in response.”