critical“the service had started filling multi-compartment aids for service users during the covid-19 pandemic...this puts people at risk of receiving incorrect medication”
moderate“Staff were not always provided with instructions on how and where to apply prescribed creams, this puts people at risk of creams being applied incorrectly.”
care planning
2 findings
critical“two different people had identical home risk assessments in place. This places people at risk; risk assessments should be person centred”
moderate“people with the condition of diabetes. There was no risk assessment if the person was to have high or low blood sugars.”
staffing levels
1 finding
minor“other staff we spoke with told us, they did not always have enough travel time between calls. The registered manager acknowledged recruitment continued to be difficult”
safeguarding
1 finding
moderate“Staff were unable to tell us how they would raise concerns outside the provider, we advised during the inspection to have local safeguarding details on display”
governance
1 finding
moderate“The registered manager was unavailable on the day of the inspection...they were in the process of submitting a new application to be the registered manager.”
record keeping
1 finding
moderate“not all known risks were recorded to identify how staff should support the person effectively”
infection control
1 finding
minor“the provider had an infection control policy in place although this had not been updated to reflect the current covid-19 pandemic”