moderate“Audits undertaken to monitor the quality of care provided were not always in place to identify issues needing improvement, such as the reliability of the service.”
missed or late visits
1 finding
minor“Two relatives said that on some occasions when staff did not arrive on time, they had not received a call to inform them when staff would be available.”
care planning
1 finding
minor“Some people did not have specific call times. There was no evidence in place that they had agreed to flexible call times.”
incident learning
1 finding
moderate“Issues were not identified in audits with regard to late untimely care calls... this meant the opportunity to learn lessons may have been missed.”