critical“Failure to assess, monitor and improve the quality and safety of the service people received is a breach of regulation 17 (Good governance)”
staff competency
1 finding
critical“Robust recruitment checks did not always take place before staff started work... employment histories were not always completed in full”
supervision appraisal
1 finding
moderate“The provider did not have a supervision policy in place and staff were not supported through regular supervision. One staff member said, 'I haven't had one yet.'”
missed or late visits
1 finding
moderate“staff attended the person's home 77 minutes late. There were no notes recorded on the ECM system at the time as to why the care call was late.”
end of life care
1 finding
minor“People's care plans did not have their end of life wishes and preferences documented in their care plans.”
record keeping
1 finding
moderate“staff file audits did not identify that application forms were not completed in full regarding employment and qualification histories”