critical“These checks had not always been carried out by DCI Care Ltd, but instead undertaken by previous employers of staff. This meant that the checks were not up to date”
staff training
1 finding
critical“staff had not always received the appropriate training in Mental capacity Act (MCA) and end of life care (EoLC) to support them in their roles.”
medication management
1 finding
moderate“these checks did not outline or record staff competencies, in relation to the administration of medicines being assessed. This meant that medicines were not always managed safely”
consent capacity
1 finding
moderate“Staff did not understand the principles of the act... the registered manager could not be assured that these relatives had the legal authority to make welfare decisions on people's behalf.”
end of life care
1 finding
moderate“Care records did not record and capture how people's wishes around end of life care had been discussed... we could not be assured people would receive the right EoLC support”
governance
1 finding
critical“The absence of fully effective systems and processes to assess and improve the quality and safety of the service, was a breach of Regulation 17 (Good governance)”
record keeping
1 finding
moderate“Peoples care records were cumbersome and difficult to navigate. We saw examples of were care records contained information and assessment tools that were not always applicable”