critical“Audits and quality checks were in place, although were not robust enough to identify and act upon areas to improve, such as care records, risk assessments and gaps in medication records.”
staff competency
1 finding
critical“One member of staff's application form did not correlate with their completed DBS check and another member of staff worked at the service prior to one reference being received.”
medication management
1 finding
moderate“Medicines were not always recorded thoroughly and there were gaps in documentation.”
care planning
1 finding
moderate“Risk assessments were not always in place or lacked information where people had specific health conditions, such as diabetes.”
staff training
1 finding
moderate“Regular training was recorded on the training matrix, although face to face training had not been provided and the provider said this was due to the COVID-19 pandemic restrictions.”
record keeping
1 finding
moderate“COVID-19 testing was regular, although recording of staff tests was not completed.”
missed or late visits
1 finding
moderate“The management team had no formal means of monitoring staff calls, how long staff stayed at each visit, and whether they arrived safely.”
supervision appraisal
1 finding
minor“Staff gave us mixed views about their induction, training and supervision; some staff said they were fully prepared for their role and had enough training and support, whilst other staff gave contrasting information.”
complaints handling
1 finding
minor“The management team maintained a record of complaints which showed these were attended to, although the outcomes were not always fully recorded.”