moderate“medicine administration record sheets (MAR) were not consistently being completed in line with current guidance...gaps in records of medicines that had been administered”
care planning
1 finding
moderate“People did not have appropriate risk assessments and risk management plans in place...one person required a high level of staff support to move; they did not have a moving and handling assessment”
consent capacity
1 finding
moderate“there was no record of mental capacity assessments being undertaken or best interest decisions being made on behalf of people”
governance
1 finding
critical“This constitutes a breach of regulation 17(1): Good governance of the HSCA 2008 (Regulated Activities) Regulations 2014.”
complaints handling
1 finding
moderate“one complaint investigation had not been concluded nor the outcome provided within the timeframe stated in the provider's complaints policy”
record keeping
1 finding
moderate“Some people had specific health and medical needs that were not identified in their care plan...nutritional assessments and care plans were not in place”
supervision appraisal
1 finding
minor“There were few records of planned one to one supervision and no records of appraisal.”
infection control
1 finding
minor“two people told us that although staff wore disposable gloves and washed their hands regularly, they did not wear protective aprons when supporting them with personal care”
staff training
1 finding
minor“some staff required training in practical manual handling as they had only undertaken training that covered the theory of manual handling”