moderate“we found two examples where potential concerns had been reported by staff and addressed internally but had not been reported through local procedures or to CQC”
care planning
1 finding
minor“In some cases, risk assessments would benefit from further details about the nature of the risk and its management, to help further guide staff.”
record keeping
1 finding
minor“Some records relating to staff recruitment were not readily available, however the registered manager assured us all appropriate checks had been carried out”
governance
1 finding
minor“The registered manager had submitted notifications, apart from in two cases which had been an oversight, clarification was provided during the inspection.”