moderate“Auditing systems were in place. However, we found that they were not always effective. Not all concerns had been picked up by the providers monitoring systems.”
incident learning
1 finding
moderate“not all incidents were recorded on the providers incident log. This meant there was a risk that accidents and incidents would not be effectively analysed for patterns and trends.”
care planning
1 finding
minor“Staff knew people well and could describe the action they take to reduce the risk of avoidable harm. However, not all risk assessments reflected this level of detail.”
record keeping
1 finding
minor“we found that records relating to staff competency needed more detail to demonstrate a full assessment had taken place.”
missed or late visits
1 finding
minor“the system did not always provide effective oversight as staff did not always log in to their calls.”
leadership
1 finding
moderate“we found that not all notifications were sufficiently detailed or submitted in a timely manner.”