critical“The provider and registered manager failed to ensure there were effective systems and processes to assess, monitor and improve the quality and safety of the service.”
staff competency
1 finding
critical“People were not protected by staff who had been recruited safely. References were not consistently obtained from previous employment in the care sector”
record keeping
1 finding
moderate“Some application forms and employment history records had been completed with only years of employment and not months.”
infection control
1 finding
moderate“Risk assessments to identify the risks of COVID-19 were generic. People's individual health risks had not been robustly assessed.”
medication management
1 finding
minor“When people needed transdermal patches... staff had not consistently noted where the patch had been placed.”
leadership
1 finding
moderate“There was no system in place to review their emails to ensure there was no outstanding work to be followed up.”