moderate“Audits of care records were only undertaken when people had stopped using the service. This meant there was no oversight to ensure care records contained enough detail and all risks had been identified.”
care planning
1 finding
moderate“Risks relating to people's individual care needs were not always planned for. A review of care plan audits showed senior staff identified needs which had not been risk assessed.”
record keeping
1 finding
moderate“Audits of people's medicines and care plans did not detail what remedial action had been taken and by when where shortfalls were found.”
medication management
1 finding
minor“Our review of people's Medicines Administration Record (MAR) charts showed these did not always contain sufficient detail, for example the time of day and the frequency of administration were not always detailed.”
staff training
1 finding
minor“A review of training data showed not all staff were up to date with the mandatory training set by the provider.”
staffing levels
1 finding
minor“Through our conversations with people, some felt the service was short-staffed. One relative told us, '…it does seem as though they are short of staff.'”
person centred care
1 finding
minor“People told us they were not always asked if they had a preference about the gender of the staff who would be supporting them.”