moderate“the service did not complete competency checks on staff who were responsible for administering medication... this was not documented.”
staff training
1 finding
moderate“Staff training was not up to date. Staff had completed the Care Certificate... however some areas of training had lapsed.”
governance
1 finding
critical“Monitoring systems were not in place to ensure information was up to date. This was a breach of regulation 17(1) of the Health and Social Care Act 2008.”
leadership
1 finding
critical“There was a person registered with the Commission to manage the service however this person had not worked at the service for over 18 months.”
record keeping
1 finding
moderate“The address of the service had changed since the service registered. The provider had not ensured that all necessary registration records were completed.”
staffing levels
1 finding
moderate“Staff were not always recruited safely. Necessary recruitment checks were not always completed prior to a person commencing employment.”