critical“The providers audits were not always effective at identifying unsafe or poor practice.”
staff competency
1 finding
critical“Recruitment practices were not robust enough to demonstrate a safe recruitment process.”
medication management
1 finding
moderate“protocols to support people to receive medicines as and when required were not in place and tis could lead to a person receiving medicine unsafely.”
missed or late visits
1 finding
moderate
“calls were sometimes late... there were still a high number of late calls. This meant calls were still not being delivered at peoples preferred times.”
care planning
1 finding
moderate“one person was at risk of their skin integrity breaking down. There was no detail as to how staff should monitor this.”
record keeping
1 finding
minor“Staff rotas did not detail visit times, so we could not verify whether calls were delivered at people's preferred times.”
communication with families
1 finding
minor“Most people we spoke with commented how staff were a little hard to understand due to cultural differences”