minor“it was difficult to separate the concerns raised by people receiving personal care from those just receiving social support, which was not a regulated service”
minor“Team managers told us that no record of these audits were completed. However the provider felt the need to tighten up this process and are piloting a new auditing system in another area.”
medication management
1 finding
minor“a topical cream had not been consistently recorded on the MAR...staff had occasionally failed to sign the MAR to evidence they had completed the information entered”
governance
1 finding
minor
“action plans did not always identify timescales for completion, who was responsible for ensuring the work was carried out, or when they had been completed”
staffing levels
1 finding
minor“one relative said on the odd occasion their family member's one to one sessions with staff had been postponed due to lack of staff”
incident learning
1 finding
minor“The provider was also in the process of developing another system for recording and reporting significant events such as accidents, safeguarding and incidents.”