critical“care workers did not record medication they administered during our inspection and they told us there was no medication administration records (MAR) in place.”
staff competency
1 finding
critical“The registered provider did not undertake spot checks or observations on care workers responsible for medicines and it was unclear...how competencies were checked.”
supervision appraisal
1 finding
critical“Care workers told us they had not received probationary reviews, one to one supervisions or appraisals.”
staff training
1 finding
critical“Care workers told us they had not completed an induction programme with the registered provider prior to their first shift.”
care planning
1 finding
critical“Care records did not accurately reflect people's current needs, which meant that, staff providing care may not be kept up to date with any changes.”
record keeping
1 finding
moderate“Records relating to the administration of medication were incomplete and not always maintained.”
governance
1 finding
critical“Systems and processes to assess, monitor and drive improvement in the quality and safety of the service provided were not always effective in their purpose.”
communication with families
1 finding
moderate“We work closely with the other health professionals and the case manager but not so much with the main office at Greenshoot.”