critical“All five of the medicines management records checked during the inspection contained shortfalls...increased the risk that errors would result in people receiving the wrong dose.”
safeguarding
1 finding
critical“There were two examples where allegations of abuse had been made against live-in care staff, yet the member of staff had remained in the person's home for several days.”
record keeping
1 finding
moderate“Risk assessments had not always been kept up to date when people's needs changed...medicine administration records that were not included in their medicines risk assessments.”
governance
1 finding
moderate“Quality assurance systems had not always identified shortfalls in the service provided or breaches of regulations. Improvements identified as needed at the last inspection had not been made.”
leadership
1 finding
moderate“Five of the nine staff we spoke with gave negative feedback about the management team and felt they were not given the support they needed to do their job effectively.”
incident learning
1 finding
moderate“The registered manager was aware the response to replacing live-in carers when there was an allegation of abuse had not always been effective...a further allegation...resulted in a similar delay.”