moderate“staff were more than 15 minutes late for approximately 25% of all their scheduled calls... still fell well short of the providers own expectations regarding staff time keeping.”
staff competency
1 finding
critical“staff files did not always include two satisfactory character and/or employment references, or Disclosure and Barring Services [DBS] checks.”
safeguarding
1 finding
critical“several staff's DBS check and references, although satisfactory, had not been obtained until after they had started working for the agency”
care planning
1 finding
critical“care plans for several people with mobility needs who required various hoists to transfer safely did not contain any moving and handling risk assessments or management plans.”
medication management
1 finding
critical“we found numerous recording omissions and errors on MAR sheets we looked at where staff had either failed to sign and date these records or had completed them incorrectly with the wrong code.”
staff training
1 finding
moderate“approximately half the staff team had not refreshed this [medicines] training in the last 12 months, contrary to recognised best medicines practice and the provider's medicines policy.”
supervision appraisal
1 finding
critical“most staff had not had an individual or group supervision meeting with their line manager or had their work performance formally appraised or routinely observed in the last 12 months”
governance
1 finding
critical“the provider had failed to identify and/or take appropriate action to address a number of unsafe practices and issues we found during this inspection”
record keeping
1 finding
moderate“Medicines administration records (MAR) sheets were not always kept up to date or accurately maintained.”