critical“Sometimes I only get five instead of six, when I really need all six”
critical“There were no records of regular audits of medicine administration records (MARs).”
staffing levels
1 finding
critical“they currently employed two care workers to cover approximately 300 hours of care per week.”
missed or late visits
1 finding
critical“Three times in the last three weeks the care worker has not turned up. Once the care worker came to the door at 11pm.”
staff training
1 finding
critical“The staff do not seem to know how to insert a catheter or maintain it correctly.”
supervision appraisal
1 finding
moderate“There were no records of staff receiving support and professional development through supervisions or appraisals.”
care planning
1 finding
moderate“Care records were not person-centred. They contained little information about the person's life history, their strengths or preferences.”
record keeping
1 finding
critical“The registered manager had failed to maintain an accurate, complete and contemporaneous record in respect of each service user.”
governance
1 finding
critical“The registered manager had not established effective quality assurance processes...medicines audits had not identified the lack of PRN guidance for staff.”
complaints handling
1 finding
moderate“My relative and I have made two calls about issues such as towels and training and neither have been responded to.”
incident learning
1 finding
critical“Accidents and incidents were not always recorded...There was no analysis of accidents or incidents to help keep people safe.”
person centred care
1 finding
critical“My relative should have two care workers four times a day but sometimes only one care worker shows up...my relative ended up on the floor.”
end of life care
1 finding
moderate“The care workers do not seem to have had any training in palliative care which is the care my relative needs.”
staff competency
1 finding
moderate“My relative is always being asked what needs to be done and where things are, and that should be part of their training.”