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The blood sugar monitoring equipment, used by the service for people with diabetes, should be periodically calibrated in line with manufactures' instructions.

There was no policy in place to address risks associated where previous cautions or convictions were recorded, and a deficiency in recruitment procedures where risk assessments were not completed despite a recorded conviction.

Night staffing arrangements required further consideration to ensure staff availability did not unduly influence people's decisions about when they went to bed.

Further time and development was required to ensure the measures in place were wholly effective in sustaining progress and driving forward the continuous improvement of the service.

Reviews of care plans had missed the opportunity to check for completeness and develop best practice procedures, such as when specialist advice and support was received from a healthcare professional.

Audits of procedures, such as recruitment, had failed to identify missing steps when convictions were recorded and, additionally, had failed to identify gaps within policies to deal with this.

Medication audits had failed to identify that equipment used to check blood sugar levels was not calibrated, or that there was no stock of calibration fluid held within the service.

Night staffing arrangements were not fully considered to ensure staff availability did not influence people's decisions about what time they went to bed.

The provider could develop closer working between sister services and this may serve to improve consistency and best practice.