minor“The registered manager accepted the management of rotas needed to improve before there was an increase in the numbers of people being supported by the service.”
moderate“systems and processes were still being developed by the nominated individual and the manager.”
care planning
2 findings
minor“One person was not able to make decisions about taking their medicines. Their care plan gave staff good advice...but was not explicit about whether they had capacity. The manager amended the care plan immediately.”
minor“Care plans contained basic explanations of the control measures for staff to follow to keep people safe.”
missed or late visits
2 findings
minor“Feedback was less positive when usual care staff were not available, and we were told covering staff were less punctual and well organised.”
moderate“We received concerns in relation to missed and late calls, and of people not receiving the correct number of staff to attend to their care and support needs.”
medication management
2 findings
moderate“Before the inspection we had received information reporting medication errors that had taken place.”
moderate“current medication administration records (MARs) were not clear for staff to follow and needed to be more detailed.”
record keeping
1 finding
moderate“A recent audit by the local authority had found the recording of staff support with medicines required improvement. The registered manager had put a clear action plan in place.”
staff competency
1 finding
moderate“There had been some concerns with the current agency provider due to inconsistent communication and concerns around agency staff competency.”
leadership
1 finding
minor“At the time of our inspection there was not a registered manager in post.”
staffing levels
1 finding
minor“The provider had refrained from taking on any further care packages until they had recruited enough staff.”
communication with families
1 finding
minor“Formal surveys of staff and people had not been carried out.”