critical“Risk assessments were not robust and did not identify or address all risks faced by people receiving a regulated activity. Regulation 12 (2)(a)(b)”
medication management
1 finding
moderate“Records were not clear and care plans listed the names and dosages of medicines but not the form or the time at which they should be taken.”
staffing levels
1 finding
moderate“One family member told us they had to provide support to their relative at weekends as the service had been unable to provide cover for the regular member of staff.”
governance
1 finding
moderate“The timescales the service had set itself were very long. For example, the December 2014 report identified that care plans should be updated to promote independence by January 2016.”
record keeping
1 finding
moderate“The standard of the recording of care delivered varied. Some log books were well completed... Other records were very basic, recording minimum details of care delivered.”
complaints handling
1 finding
minor“Concerns were responded to, however, this was not always within the timescales dictated by the policy.”
communication with families
1 finding
moderate“Changes were made to their relative's care without them being informed. They said, 'They always make changes but we are not always informed.'”
leadership
1 finding
minor“Another member of staff did not know her name. People talked about the staff at the office, rather than the registered manager specifically.”
person centred care
1 finding
minor“One person located their care plan while speaking to us and expressed surprise at its contents, telling us, 'Well, they've never done that [specific care task] before!'”