moderate“staff supported people with transfers and records showed they had not been trained on moving & handling, which meant staff may not be able to support people effectively”
record keeping
1 finding
moderate“a nutritional care plan was not in place to include the type of support people required and how staff can support people safely and effectively with meals”
care planning
1 finding
moderate“We were informed a person may be at risk of diabetes and would need to be mindful when eating meals, this had not been included on the care plan.”
governance
1 finding
critical“Audits had not been completed to ensure the service was providing safe and effective care to people... Spot checks had not been completed to ensure staff were competent.”
staffing levels
1 finding
moderate“The service did not have oversight to ensure staff were available and attended calls on time to ensure people received care in a timely manner.”
staff competency
1 finding
critical“two references had not been obtained to check staff character and conduct at previous employment... robust systems were not in place to ensure staff were suitable to work with vulnerable people”
incident learning
1 finding
minor“feedback from people regarding call timeliness... had not been recorded and a system was not in place on how often feedback should be sought”