critical“Staff were not safely recruited as background checks were not in place when staff started their employment.”
record keeping
1 finding
critical“Both staff files we looked at were missing a last employer reference...A formal record of both interviews had not been made.”
care planning
1 finding
moderate“People did not always have up-to-date risk assessments as part of their care plans.”
governance
1 finding
critical
“Auditing systems had not identified improvements needed in the safe recruitment of staff. We found a breach of regulation in this area.”
medication management
1 finding
moderate“A medication audit for August 2022 found some, but not all of the issues we looked at regarding occasional gaps in medicines administration.”
incident learning
1 finding
moderate“The registered manager openly made us aware of two incidents they referred to local authority safeguarding teams. However, these events had not been reported to the CQC.”
missed or late visits
1 finding
minor“Visit times for the first week in August 2022 showed call times were not always consistent with agreed call times.”