critical“quality monitoring systems were not robust enough to accurately monitor and identify areas found requiring improvement. This was a breach of Regulation 17(1)”
record keeping
1 finding
moderate“communication logs that described the care and support given during each care call visit had entries that were scribbled out”
medication management
1 finding
moderate“MARs were not always dated and 'as required' medicine protocols such as for pain relief, did not always guide staff on the gap required between each dose.”
care planning
1 finding
moderate“risk assessments for catheter care support and hoisting were not detailed enough to guide staff fully”
staff competency
1 finding
moderate“catheter care spot checks had not been completed recently to ensure staff followed this training”
safeguarding
1 finding
critical“We had to explain to the registered manager that it was their legal requirement to notify the CQC of all allegations of safeguarding within 24-48 hours”
person centred care
1 finding
minor“Language used by staff in communication logs, on occasion could be unclear, undignified and not person-centred.”