minor“Some people told us their care had not been as consistent recently and they had a lot of new care staff visiting them.”
communication with families
1 finding
minor“different care staff visited at weekends which disrupted the usual weekly routine.”
missed or late visits
1 finding
moderate“Over half of the people and relatives we spoke with told us the times of their care calls and the staff who provided them were inconsistent.”
medication management
1 finding
moderate“A prescribed medicine on one person's MAR had a line drawn through it indicating the medicine was no longer required. This conflicted with a handwritten entry on the top of the MAR.”
governance
1 finding
moderate“The provider's quality assurance systems and processes were not always effective. For example, medicine audits highlighted some omissions but had not identified the additional issues we found.”
care planning
1 finding
minor“We found one care plan lacking in detail and a second had not been fully completed. The registered manager took immediate action to address this during our visit.”
record keeping
1 finding
minor“The tool used to check care plans did not detail the accuracy or content of care plans checked.”
staffing levels
1 finding
moderate“The registered manager acknowledged… difficulties in maintaining enough staff to meet the obligations of their contract with the local authority. They told us, 'We have to take new customers if we have capacity or not.'”