critical“they had not informed the Local Authority safeguarding team as required. Therefore, we raised a safeguarding alert with the Local Authority safeguarding team.”
medication management
1 finding
critical“Care plans and medication risk assessments were not always in place, and did not provide clear guidance to ensure the safe administration of medication.”
care planning
1 finding
critical“Care plans did not always provide care workers with the necessary information to provide person centred care to people who used the service.”
record keeping
1 finding
moderate“staff had no access to the paper records stored within the office as these documents had not been added to the electronic system.”
staff training
1 finding
moderate“one person who commenced employment in July 2022, did not complete training in relation to dementia, diabetes, falls and the Mental Capacity Act until October 2022.”
supervision appraisal
1 finding
moderate“The registered manager told us staff had received one to one supervision meetings. However, these had not been documented.”
staff competency
1 finding
moderate“A number of these were out of date as the registered manager advised the policy is for these to be completed every three months.”
governance
1 finding
critical“Audits received following the site visit were not effective in identifying where improvements were required.”
consent capacity
1 finding
moderate“People's consent to care had not been sought appropriately. There was no record anyone had been asked to consent to their care plan.”
missed or late visits
1 finding
minor“one person and their relative raised a concern that staff were often late. This was raised with the registered manager during the inspection.”
person centred care
1 finding
moderate“one person's care plan states they were living with diabetes with no further detail regarding the support required in relation to this.”