critical“References for two members of staff stated that they were previously employed as 'delivery persons' which did not correspond to their employment record”
moderate“The service did not always ensure staff provided a full employment history at the time of their recruitment.”
staff competency
1 finding
critical“out of the six recruitment files we looked at, we found most of the staff references to be unreliable.”
governance
1 finding
moderate“existing quality assurance systems had not identified the issues we found around recruitment and the lack of clear details around some people's medicine records and risk assessments.”
medication management
1 finding
moderate“some care plans did not always contain clear instructions about staff's responsibilities where they provided support to people with their medicines.”
care planning
1 finding
moderate“some risk assessments did not contain enough details to provide staff with a clear understanding on how to minimise known risks.”