critical“The provider's recruitment arrangements had not been robustly maintained. The provider had not queried discrepancies or sought additional assurances about the information provided by new staff”
moderate“The provider's systems for assessing and monitoring the quality of the service had not been entirely effective”
communication with families
1 finding
minor“At times the provider had not communicated as effectively as they could have done with the local authority”
medication management
1 finding
moderate“medicines recording arrangements did not reflect current best practice... best practice in relation to medicines had not been fully embedded at the service”
missed or late visits
1 finding
minor“they had mixed experiences about the support provided by staff at weekends... 'The weekends are hit and miss.'”
record keeping
1 finding
critical“references taken up for them were typed on un-headed paper and unsigned. One of these references referred to a person that did not match the name of the staff member”