critical“The provider had failed to have effective systems to monitor the quality and safety of the service and mitigate the risks relating to people. Records were not all accurate and up to date.”
care planning
1 finding
moderate“People's care plans were not always up to date and some lacked information about the person from their initial assessment. For example, people who had been identified as at risk of falling, did not have a falls risk assessment in place.”
record keeping
1 finding
moderate“Paper copies of the care plans were available if there was an emergency, however the paper care plans did not always reflect the electronic system.”
staff competency
1 finding
moderate“Staff told us they did not always feel confident using the equipment on their own.”
infection control
1 finding
moderate“where it had been identified staff could come into contact with body fluids, there was no guidance or risk assessment to inform staff of how to reduce the risk spreading infection or cross contamination.”
staff training
1 finding
minor“one staff member felt they needed more shadowing. They felt they needed more support and shadowing when using mobility equipment”
leadership
1 finding
minor“some staff felt the registered manager was not always available for them to contact due to the registered manager supporting people in care calls.”