minor“There is a shortage of staff, we definitely need more staff, but they all work very hard.”
minor“The demands on the staff mean they can't come straight away, but they come as soon as they can.”
care planning
1 finding
moderate“people who were at risk of pressure area care had no care plans in place to inform staff how to manage the risks.”
record keeping
1 finding
moderate“Records relating to the administration of 'as and when' required [PRN] medicines were not always in place.”
governance
1 finding
moderate“A number of changes in the management structure had impacted on the oversight of the service and staff morale.”
leadership
1 finding
critical“At the time of our inspection there was not a registered manager in post.”
safeguarding
1 finding
moderate“The provider had identified shortfalls with documentation and safeguarding at the service and was taking appropriate action to address this.”
medication management
1 finding
moderate“Systems in place to monitor the management of medication had identified concerns relating to the PRN documentation, stock control and missed administration of medicines.”
other
1 finding
minor“Some staff did not have all the essential checks completed and the provider recognised this.”