critical“The provider had not identified, and mitigated risks people faced while receiving care. For example, about shaving, bath, shower, accessing community and outdoor activities.”
medication management
1 finding
moderate“Some people's PRN (as required) medicine was reflected in their care plan but not on the MAR chart. It was not clear if people received PRN medicine when required.”
governance
1 finding
critical“These were not robust enough to identify the issues found during this inspection...the provider audits failed to identify and mitigate the risk people faced whilst receiving care.”
record keeping
1 finding
moderate“The provider did not maintain accurate care records. For example, some home visits call time records were incorrect and as required medicines MAR charts were not completed at all times.”
staff competency
1 finding
minor“The provider did not always request written references, obtaining verbal references over the phone...which does not demonstrate a robust approach to recruitment.”