critical“Medicines were not always managed safely; medicines administrations were not always recorded and staff medicines competencies had not been assessed, although they had completed training.”
record keeping
1 finding
critical“Records were not always complete and presented promptly when required. The provider did not always maintain a copy of all documents at their office location.”
governance
1 finding
critical“The systems in place for assessing and monitoring the quality of the service were not always effective in driving improvement and therefore put people at risk of receiving unsafe care.”
staff competency
1 finding
moderate“All staff had completed medicines training; however, their competencies had not been assessed to show they had the appropriate knowledge and skills to support people safely.”
staff training
1 finding
moderate“Both management and care staff told us all new staff completed a week induction; however, there was no induction records to evidence it.”
leadership
1 finding
moderate“The registered manager was not actively involved in the day-to-day management of the service due to her other professional commitments in the healthcare sector.”
other
1 finding
critical“Only one of five staff had a reference in place. This showed that staff were not properly checked to ensure they were suitable for the role and of good character before employing them.”