critical“for one person, the evening medicine was due at nine pm however, there were 13 days when it was administered between half an hour and one and a half hours late.”
moderate“competency checks in relation to medicines management...were undertaken by a staff member who had not received training to be a competent assessor.”
care planning
2 findings
moderate“People's care plans did not always include sufficient information and guidelines to help staff provide care in a safe and individualised way.”
moderate“risk assessments in place, they were not specific to meet the needs of the person and some included information that was not relevant to the prescribed medicine.”
staff training
1 finding
critical“one staff member started providing care to people on 10 July 2022, however, did not receive training until 20 and 21 July 2022.”
governance
1 finding
critical“The registered manager had not established or used an effective system to enable them to ensure compliance with their legal obligations and the regulations.”
safeguarding
1 finding
critical“at least two occasions where a safeguarding concern had been raised however, the registered manager had not submitted a notification to CQC without delay.”
record keeping
1 finding
critical“The registered person had failed to ensure that information specified in Schedule 3 was available for each person employed.”
missed or late visits
1 finding
minor“We were told it would be 15-30 minutes leeway [on agreed times] but I often have to call to see where they are.”