minor“improvements were required to some electronic medication administration records to ensure medicines prescribed were individually recorded”
moderate“staff did not always follow the risk assessment of avoiding medicine having to be administered if not necessary. This meant a person was provided with medicine they may not have needed.”
staff training
1 finding
minor“Improvements were needed to ensure staff undertook training in key areas linked to people's needs, health and wellbeing. For example, mental health, diabetes and epilepsy awareness.”
care planning
1 finding
moderate
“risk assessments were not always detailed to reduce all potential risks, such as managing distressed behaviour or managing continence.”
missed or late visits
1 finding
critical“A missed call had recently occurred which put a person at risk of not receiving food and medication.”
staff competency
1 finding
moderate“a risk assessment for a staff member with concerns regarding their background had not been put into place until after they had commenced employment.”
governance
1 finding
moderate“safety issues we identified such as having detailed risk assessments for continence and distressed behaviours had not been identified through the auditing system.”
supervision appraisal
1 finding
minor“Spot checks on staff took place to monitor whether staff were providing appropriate care and a positive approach to people, though these were not frequent.”
complaints handling
1 finding
minor“A small number of issues had been raised in the surveys though there was no action plan to address these.”