critical“The registered manager was unable to confirm how many people were being supported with their medicines at the time of the inspection.”
care planning
1 finding
critical“Care records were incomplete, lacked specific detail and clear guidelines for staff to follow to mitigate any possible risks.”
person centred care
1 finding
critical“For some care records, the profile 'About Me' section was blank and had not been completed. There were examples where incorrect information about people was recorded.”
governance
1 finding
critical“There was no clear system of audits in place and we could not review samples of key records...the provider was unable to identify any areas of improvement.”
record keeping
1 finding
critical“A range of documents and records that were requested during and after the inspection had still not been sent to us by the registered manager at the time of the inspection report.”
staff training
1 finding
moderate“There were no records to confirm if staff had completed any training on the MCA. We discussed this with the registered manager who told us it had been done but did not have a copy.”
staffing levels
1 finding
minor“Some people and their relatives told us they were not always informed if their care worker was running late.”
incident learning
1 finding
moderate“There were no systems in place to record incidents, to show what action had been taken or if any lessons had been learnt.”
supervision appraisal
1 finding
minor“Staff were positive about the training and supervision they received. However, not all of the supervision records were formally recorded.”
complaints handling
1 finding
moderate“Informal complaints were not recorded and there were no records of what action was taken or what the outcome was. This was not in line with the provider's own policy.”
consent capacity
1 finding
moderate“Where people had cognitive impairments or memory issues, care records were not clear about their abilities to be involved and be supported to make specific decisions about their care.”