moderate“some people told us they were not always informed when visit times changed or staff were running late”
missed or late visits
1 finding
moderate“There were a small number of visits where travel time was not sufficient to enable staff to stay the length of the visit and get to the next visit on time.”
leadership
1 finding
moderate“the service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.”
governance
1 finding
moderate“Staff told us that visits were added to their rota without them being informed first.”
end of life care
1 finding
minor“The registered manager had not spoken with all people to ensure their end of life wishes were known and captured.”