critical“Missing information included full employment history, health declaration and satisfactory conduct evidence from current or previous employers.”
medication management
1 finding
critical“No medicines administration records were in place, which is a legal requirement, to record what time medicines should be given and when they had been administered.”
care planning
1 finding
critical“People's needs were not formally documented prior to receiving a service...information about how staff should meet people's needs, was not sufficiently detailed within people's care plans.”
consent capacity
1 finding
critical“There was no information within people's care plans to demonstrate their ability to understand and agree to the planned care.”
governance
1 finding
critical“Formal systems to monitor the quality and safety of care delivered were not in place. There were no audits to enable effective oversight of the service.”
record keeping
1 finding
moderate“Record keeping was poor and records were not always available. The provider had failed to ensure information captured about people's needs, was accurate and sufficiently detailed.”
supervision appraisal
1 finding
moderate“Staff told us they felt supported...although formal recorded supervision had not been undertaken.”
person centred care
1 finding
moderate“There was limited information about people's health needs...no information about people's personal histories, social interests or preferences.”
safeguarding
1 finding
critical“The failure to ensure all recruitment checks and risk assessments were completed meant people could be at risk of harm.”