moderate“We found two instances where there was a lack of guidance for staff to inform them when and how these medicines should be given. Staff were not consistently able to demonstrate that they knew how and when as required medicines should be given.”
moderate“records relating to the administration of people's medicines were not always completed accurately...records had not always been completed to reflect their safe use.”
moderate“We identified some errors had occurred following the introduction of these additional checks”
staffing levels
1 finding
moderate“Three people and some staff told us that staff were not always able to respond to ad hoc call bells in a timely way. One person told us, '[Staff] sometimes haven't come quickly [when the call bell has been activated].'”
care planning
1 finding
minor“We find that two people's specialist care plans, in respect of epilepsy and diabetes, required additional information. We spoke with the registered manager who immediately updated these records.”
record keeping
1 finding
critical“One person's records showed that they were at risk from seizures and that staff should encourage them to wear a pendant... The person told us they had not been given a pendant before we had raised the matter with staff.”
safeguarding
1 finding
moderate“The service had experienced a number of safeguarding concerns in relation to money and property being stolen.”
person centred care
1 finding
minor“Every day we get agency staff. I never know who's coming until they come.”