Mayden Support

Medication management was not safe. There were no adequate systems in place to check that people's medicines were administered as prescribed. Medication administration records were not accurate, and information relating to people's medication needs was not up to date or accurate.

People's needs and risks had not been adequately assessed and care plans had not been updated appropriately, when people's needs and visit preferences had changed.

People's visits times did not always correspond with the visit times they had agreed with the service. Visits were sometimes much later or earlier than agreed. Records relating to the length of time staff spent providing support to people, were also not accurate. This lack of accurate record-keeping made it impossible to tell if people's visits were occurring as planned in order to mitigate and manage risks.

The provider had a policy in place with regards to COVID-19. Staff testing for the virus at the time did not adhere to government guidelines in place at the time of the inspection.

There were limited systems in place to monitor and audit the quality and safety of the service. This meant they did not identify the concerns we found during the inspection. The manager and provider failed to have sufficient oversight of the service to monitor and mitigate risks to people's health, safety and welfare. The provider had also not always acted with respect for the duty of candour at all times.

People and their relatives said staff were kind, caring and supportive. They said that it was easy to get in touch with 'the office' to speak to someone if they needed to and that they were happy with the support they received from staff.