moderate“Information about some risks was not consistently up to date or clear.”
record keeping
1 finding
moderate“In the case of two workers, a full employment history had not been recorded.”
incident learning
1 finding
moderate“The systems in place to regularly and systematically review all incidents and accidents to check for safety related themes and trends needed to be developed further”
staffing levels
1 finding
moderate
“We received mixed feedback about the reliability and consistency of the service.”
staff competency
1 finding
moderate“Some people did not feel fully confident or secure with their care worker and further action was being taken to mentor staff where necessary.”
medication management
1 finding
minor“information relating to the use of 'As required' or PRN medicines needed to be more comprehensive”
consent capacity
1 finding
moderate“Three of the care plans we viewed did not include signed consent from the person or their legally appointed representative.”
supervision appraisal
1 finding
minor“Supervision records did not include a focus on the ongoing personal development and learning of staff.”
end of life care
1 finding
minor“information about the person's wider priorities for their future care had not been incorporated into an end of life or advanced care plan.”
person centred care
1 finding
minor“Some of the language used in a small number of these records was not fully person centred.”