critical“some people were prescribed paracetamol. We found the required 4 hour time interval between doses was not always observed. This meant people were at risk of potential overdoses.”
governance
1 finding
critical“evidence of audits was not provided despite numerous requests, even after the inspection. Quality audits were not in place.”
staff competency
1 finding
moderate“Never had one, the medicines are always wrong on the app we use and no matter how many times I report it nothing gets done.”
supervision appraisal
1 finding
moderate“I've not had a spot check since the company took us over at the beginning of September. Another member of staff said 'Never had one.'”
staffing levels
1 finding
moderate“high sickness levels which impacts visits being on time, especially at weekend when we have less staff available.”
infection control
1 finding
moderate“some people confirmed it was not always worn when delivering care. One person said, 'They do, but not always.' Another person said, 'They don't always wear masks.'”
record keeping
1 finding
moderate“Medicine related risk assessments and care plans were not always up to date, therefore we were not assured people received their medicines safely.”
leadership
1 finding
moderate“There is poor management and leadership. Some managers are unapproachable and there are issues with communication.”
safeguarding
1 finding
moderate“Risk assessments were not always in place for staff to work whilst they were waiting for their DBS check to be returned.”