critical“The service failed to provide comprehensive medicines assessments and guidance for staff in how to support people safely when being prompted to take their medicines.”
staff competency
1 finding
moderate“Care workers had received training around the administration of medicines. However, their competency had not been assessed which put people at unnecessary risk when being supported with their medicines.”
care planning
1 finding
critical“We found that risk assessments in relation to people having specific health conditions such as epilepsy did not provide information of how to safely respond to these and support people who experience an epileptic seizure”
record keeping
1 finding
moderate“some of the care plans lacked detail in regard to people's health and social care needs.”
governance
1 finding
critical“Failure to establish and operate systems and processes effectively placed people at risk of harm and in receipt of poor-quality care.”
leadership
1 finding
moderate“the registered manager had not identified some of the shortfalls in the systems and processes identified at the inspection.”