critical“Medication was not being administered from the original pack dispensed by the pharmacy but from a Dossett box prepared by their relative.”
governance
1 finding
critical“Quality assurance and governance arrangements in place were not effective in identifying shortfalls in the service.”
record keeping
1 finding
critical“The registered manager told us they had shredded information relating to one member of staff employed in June 2022.”
care planning
1 finding
moderate
“Not all people who used the service had a robust support plan in place describing their individual care and support needs.”
staff training
1 finding
moderate“No information was retained to demonstrate this member of staff had received appropriate training to enable them to carry out their role.”
supervision appraisal
1 finding
moderate“No information was recorded to demonstrate this member of staff had been formally supervised.”
incident learning
1 finding
moderate“No information was recorded to demonstrate the registered manager had recognised where improvements were needed, and lessons learned to improve safety.”
staffing levels
1 finding
moderate“The registered manager was unable to provide evidence of completed recruitment checks to demonstrate compliance with regulatory requirements as these had been shredded.”