moderate“for people requiring support with catheter or stoma care more written guidance was needed. This was to ensure all staff provided care in a consistent and safe way for people.”
communication with families
1 finding
moderate“It depends who's coming whether we get a call or not. I'm ok with carers being late, sometimes it just can't be helped but if they just let me know then I can make sure [person] at least has their medication at the right time.”
medication management
1 finding
moderate“sometimes staff arriving late or early, meant some medication for people was not administered at the correct time.”
governance
1 finding
moderate“The provider's own quality audits had identified there were some issues with staff timekeeping. Although they had taken some action to address the issues, feedback from people and relatives showed the problem had remained.”
staff competency
1 finding
minor“when their regular staff member was unable to attend, they would sometimes have to show the replacement staff member what to do. For example, how to prepare certain foods.”
person centred care
1 finding
minor“Most people were new to the service and told us the only review they had was at the initial assessment stage when they first joined the service.”