critical“Risks to people had not always been assessed and staff did not always have access to information about how to manage possible risks”
moderate“Falls risk assessments contained some contradictory information about how to support people following a fall and referred to the use of equipment which was not available”
moderate“assessments of need... had not always fully identified people's health conditions, or provide information on the steps staff might need to take”
medication management
2 findings
critical“Medicines were not safely managed. Medicines profiles were not accurate and did not include all prescribed medicines”
critical
“Staff were administering over the counter medicines without seeking the advice of the GP.”
communication with families
1 finding
moderate“the service communicated in a timely way with health professionals... changes in a health condition had not been reported to or discussed with health professionals”
governance
1 finding
critical“Effective systems were not always operated to monitor the quality and safety of the service.”
complaints handling
1 finding
minor“the complaints policy in the service user guide did not advise people that if their care was funded by the local authority they could complain to the local authority”
record keeping
1 finding
minor“We identified gaps in one staff members employment history. This was addressed during the inspection.”