Shetland Islands Council INTERNAL AUDIT REVIEW To: Resources Manager cc: Head of Service – Community Care Head of Service – Children’s Services Executive Director – Education & Social Care Head of Finance Chief Executive cfi: Expenditure Manager From: Service Manager - Internal Audit Confidential Webroster 1. Executive Summary The auditee is the Resources Manager, Education and Social Care. Initially this was a scheduled systems review of Webroster, however the remit was expanded due to concerns expressed by the Expenditure Manager in relation to significant payroll overpayments. The Key concerns are: The monitoring of relief staff working hours and short term contractual arrangements are not adequately managed and administered. Accordingly there is no assurance that a duty of care and working time regulations are being observed. This concern was raised in a previous investigation in 2007 and has not been addressed. Whilst Webroster appears to deal with the complexities and requirements of the Social Care rota, there are a significant number of issues of concern compounded by a worrying lack of checks within the system and the surrounding procedures. There is insufficient evidence of controls surrounding the authorisation of additional hours and relief work and the final data to be input to Webroster. This results in overpayments and budget implications. The current practices are too complex and have no methods of reconciliation, therefore there is no assurance that the resulting financial output i.e. the payroll, is correct. It is disappointing to note that issues raised in previous audits and investigations undertaken by this Service are still prevalent and have not been adequately addressed. (See para 4.4 below). Page 1 of 5 2. Audit Scope / Background 2.1 This is an audit of Webroster which is a time management and rostering software solution. The main functionality of the system is for the scheduling of social care workers delivering personal and domestic care to clients living in their homes. In 2009 it was agreed that payroll information for all care at home and residential staff would be processed through Webroster and uplifted through an interface from Webroster to the CHRIS system. 2.2 Initially it was envisaged that this would be a systems review covering access controls, licensing arrangements, audit logs, password management, authorisation procedures and accuracy of interface uplift. However, in July 2010 the Expenditure Manager raised concerns regarding the occurrence of significant overpayments to Social Care staff which brought into question the system, procedures, authorisation and controls surrounding the Social Care payroll. In addition, Management Accountancy has identified significant variances in payroll expenditure from May to June 2010. Payroll expenditure was up £15k in two units and £20k in another. Taking these issues into consideration, the Resources Manager, Education & Social Care requested Audit to expand the review to include the processes and controls surrounding Webroster. 2.3 Given the complexity and extent of this review it is not considered appropriate to provide the detailed findings within this report, however, a working paper was prepared for the Resources Manager that provides details of the findings with examples. 2.4 It is recognised that there has been a huge learning curve for the Unit Administration staff within the last few months and it is evident that staff are becoming more aware of the consequences of incorrect postings on the systems etc. Audit are aware of the desire on the part of staff to get it right. 3. Audit Findings 3.1 There is insufficient evidence of controls surrounding the authorisation of additional hours and the final data to be input to Webroster. Paper rotas are not signed off and changes to the paper rota are not authorised or initialled. 3.2 Segregation of duties is insufficient. Unit Administration staff process from cradle to grave, covering input, changes, verification and submission of adjustments. 3.3 Contract Adjustment sheets are not authorised by the Unit Managers. 3.4 There are no audit logs and therefore the system is susceptible to fraud and malicious damage without reliable trace. Because of multiple contracts, it is common practice for numerous Units to have access to shared employee data. Page 2 of 5 3.5 Hours are regularly allocated to the wrong contract, sometimes through human error but also routinely because the relevant contract is not on the system. This does have payroll repercussions, adjustments sheet problems and budgeting implications. 3.6 There are some technical timing issues and communication issues in relation to updating Webroster information. 3.7 Monitoring relief staff working hours and practices is insufficient. Duty of care and working time regulations etc are possibly not being adhered to. 3.8 Information is not being submitted to Staffing and Webroster Administration from the Units within sufficient timescales and therefore significant and numerous overpayments are being made. The procedures surrounding granting and backdating relief staff short-term contracts are of particular concern. 3.9 Unit Administration staff are not always informed of contractual changes promptly by Unit Management. 3.10 Housekeeping on both CHRIS and Webroster requires to be streamlined as at present there are over 1,000 relief staff recorded on CHRIS and many relief contracts recorded on Webroster that could be ended. 3.11 The Licensing arrangements for Webroster could not be clarified. There are over 150 registered authorised users of Webroster. 4. Concerns and Risks 4.1 Whilst Webroster appears to deal with the complexities and requirements of the rota, there is significant lack of control within the system and the surrounding procedures. There are also no reconciling processes and therefore no assurance that the financial output is correct resulting in overpayments and budgeting issues. 4.2 Significant overpayments have been identified. These are due to: recruitment processes, specifically the transition from relief to contracted status lack of communication documentation flow contract recording on Webroster and human error 4.3 There are no controls over relief hours worked by individuals e.g. it is technically feasible for an individual to undertake consecutive shifts ad infinitum at different care units throughout the Council. Currently Individuals move from one shift to another unit without a break. Page 3 of 5 4.4 Previous Audit of Social Care 2007 The following is an extract from the Social Care Audit follow up report issued in March 2008. 3.2 It is disappointing to report that very few issues have been fully addressed. Internal Audit does acknowledge that the prime concern for Social Care managers is the welfare of their clients. However, outwith this prime area of responsibility managers are also paid to ensure that administrative, human resource and financial matters are adequately addressed. It would appear some managers do not appreciate the importance of this. The significance of this requires to be enforced by senior management with training implemented to address shortcomings. This has to be more than simply forwarding or communicating a written procedure and expecting implementation, with no checks to ensure observance. This review of Webroster and associated payroll procedures demonstrates that controls over human resources and financial matters are still not being adequately managed by Management within Social Care. 5. Recommendations 5.1 Given the scope of the issues surrounding the engagement of relief workers, the use of short term contracts, Webroster processes, security, the lack of assurance and the significant overpayments identified, a comprehensive review / LEAN project should be undertaken to cover the following areas: Service requirements Application of contractual requirements, obligations, pensionable rights etc The engagement of real reliefs (Review NHS systems) Links to and from the existing recruitment processes Working time directives Authorisation procedures Investigate CHRIS Electronic Timesheet capabilities Documentation flow Systems requirements / Audit Logs Webroster capabilities and reporting facilities Security, Control & Licensing arrangements Reconciliation processes Page 4 of 5 5.2 In the absence of a comprehensive review, Audit recommends as a minimum the following: Centralise administration, engagement, control and monitoring of relief staff Introduce authorisation procedures and therefore responsibility throughout the processes e.g. for additional hours, change of contracts, the paper rotas and adjustment sheets etc Prohibit backdating contracts Review information and documentation flow Introduce precise guidance in order to achieve consistency with regard to allocation of hours to specific contracts Investigate / develop reporting facilities on Webroster Carry out a housekeeping exercise on both Webroster and CHRIS Review current licensing arrangements Review the Webroster Training Manual and update it to include standard checklists / spreadsheet requirements e.g. relief annual leave calculations. 6. Other Observations 6.1 We would like to take this opportunity to thank all staff for the time, patience and assistance afforded to Internal Audit during the course of the audit assignment. The positive attitude shown by staff was much appreciated during the audit. 6.2 This audit will be followed up in approximately twelve (12) months time when areas of concern identified will be reviewed. 7. Auditee Response 7.1 The Auditee has responded as follows: I have responded to the issues raised in this report in a separate document (attached as Appendix 1). This will go some way to rectifying some of the issues, however, this does not address the fundamental one of why we do our business in this way. I stand by the comments I made in my paper on the subject to the Head of Finance, which was to be discussed by the Executive – essentially, a fundamental review (as recommended in 5.1 above) of our business processes is required and I would urge the Executive to give that serious consideration. The status quo is simply not sustainable. Date: 24th August 2010 Report No: IAR/SC Systems/Webroster Page 5 of 5
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