moderate“Some care plans had not been updated or reviewed for more than one year. This meant there was not always evidence to demonstrate risks to people's health and safety were being effectively assessed.”
record keeping
1 finding
moderate“Care files held in the office were not always easy to navigate with archived records mixed with current records... the system did not contain care plans or risk assessments.”
medication management
1 finding
moderate“Protocols for administering as needed medicines were not always in place. Some care records on the providers electronic care records system did not always record people's GP and/or pharmacist.”
staff training
1 finding
moderate“Periods of shadowing for staff new to care were often short and records did not always evidence any follow up with the member of staff to make sure they felt confident in their role.”
governance
1 finding
moderate“Systems to audit quality and safety within the service at branch and provider level were in place but needed some improvement to make sure they covered all aspects of the service.”
person centred care
1 finding
minor“One person said they did not know if their care plan had changed when their needs changed. Another said an admin person visited and left a care plan which was supposed to have been updated but never got updated.”
missed or late visits
1 finding
minor“One person we spoke with said there had been a missed call. Some people commented calls were not always on time and this has meant calls had been very close together.”
safeguarding
1 finding
minor“Safeguarding incidents had been investigated appropriately and followed up. However, documentation in relation to these incidents had not always been signed by the registered manager.”