critical“care visits had not always been completed in line with the agreed times as stated within people's care plan...call times were inconsistent, with visits regularly early or late”
governance
1 finding
moderate“Action and improvement plans were in place. However, these were limited in detail and none...referenced the issues we noted with inconsistent call times and the length of care visits.”
supervision appraisal
1 finding
moderate“some of the staff we spoke with stated they had either yet to have supervision or had only completed 1 meeting. This was contrary to what was listed on the matrix.”
staff competency
1 finding
moderate“The majority of care staff told us they had either yet to complete a spot check or had only completed one in the last 12 months. The matrix showed 3 or more had been completed.”
record keeping
1 finding
minor“We identified some inconsistencies with the medicine administration records...This included missing signatures and the wrong codes used, to indicate why a medicine had not been given.”
care planning
1 finding
minor“for some people who required a modified diet...Some care plans stated, 'make food in line with speech and language therapist (SaLT) guidance', rather than specifying what the guidance was.”