critical“some areas of potential risks to people had not been identified and included in the risk assessments. This could result in people receiving unsafe care”
critical“some risk assessments contained limited information and some areas of potential risks to people had not been identified and included”
medication management
2 findings
critical“there were gaps in some of the MARs we viewed...The service did not have an effective medicine audit in place.”
critical“there were some gaps in Medicines Administration Records (MARs) where the service had administered medicines but had not recorded this appropriately on the MARs”
safeguarding
1 finding
moderate“the majority of staff we spoke with failed to explain that they could report their concerns to local authority or the CQC”
record keeping
1 finding
minor“we did not see evidence that the service analysed the information obtained from satisfaction surveys. The provider explained that they reviewed the satisfaction surveys but this was not documented.”