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Inspection report

Date of Inspection: 19 September 2014
Date of Publication: 7 November 2014
Inspection Report published 07 November 2014 PDF


Inspection carried out on 19 September 2014

During an inspection to make sure that the improvements required had been made

Two inspectors carried out this inspection. The focus of the inspection was to follow up on a warning notice issued following our last inspection in April 2014 and to follow up on compliance actions issued at that time. We answered the questions is the service safe and is it well-led?

Below is a summary of what we found. The summary describes what people using the service and the staff told us, what we observed and the records we looked at.

If you want to see the evidence that supports our summary please read the full report.

Is the service safe?

The home had changed to a new pharmacy supplier and new systems were still being put in place. They systems for the management of medicines were not robust. When shortfalls were found there was not always evidence that actions had been taken to resolve them.

A number of staff personnel files did not contain all required pre-employment checks. Criminal records checks were obtained for staff. However, systems were not in place that ensured that matters raised through this process had been discussed with prospective staff and where appropriate, potential risks had been minimised. This meant that the provider could not demonstrate that staff employed to work at the home were suitable.

Records were not always sufficiently detailed to determine how staff dealt with situations. For example, a verbal complaint had been made to the home but there were no records of the investigation or actions taken.

Is the service well led?

There was no effective system in place to regularly assess and monitor all areas of the home and to ensure that when shortfalls were identified appropriate actions were taken.