critical“People's care plans and risk assessments included information of how staff were to support people safely. However, these had not been kept up to date.”
missed or late visits
1 finding
critical“care workers were logged in to more than one person's home at the same time...people had their lunch visit between one and two hours after their morning visit.”
staffing levels
1 finding
moderate“I do not feel that there are enough care workers. There are far too many calls put on a carer and in my opinion, given an impossible task to get round to everyone.”
staff competency
1 finding
critical“Competency checks and observations on care workers during their usual work practice had not been kept up to date to ensure care workers were supporting people safely.”
governance
1 finding
critical“Systems were not robust to assess, monitor and mitigate risks to the health, safety and welfare of people using the service. This placed people at risk of harm.”
supervision appraisal
1 finding
moderate“The system for monitoring and supporting staff had not been kept up to date. This included supervisions, spot checks and competency checks.”
medication management
1 finding
moderate“changes in people's medicines were not always uploaded onto the electronic system...one relative told us their family member had been given their medicines twice.”
infection control
1 finding
moderate“we received feedback from some people that care workers did not always wear aprons...Spot checks on staff had not been kept up to date to ensure staff were practicing good infection control.”
person centred care
1 finding
moderate“We identified from a person's daily notes that they had been supported by care workers on one visit, which was not dignified or demonstrated the person was being listened to.”
communication with families
1 finding
minor“Some people and relatives told us they did not receive a rota so were not sure when their care visits were to be and by whom. One person said, 'I just have to lie here and wait.'”
leadership
1 finding
moderate“At the time of our inspection there was not a registered manager in post. The previous registered manager deregistered on 5 December 2022.”