moderate“assessments were not fully detailed. For example, for people with continence needs, there was little information as to how to assist them.”
staff training
1 finding
moderate“Staff training did not contain all issues staff needed to be aware of, such as first aid and some people's health conditions.”
supervision appraisal
1 finding
minor“Staff had received supervision, though this had been sporadic.”
governance
1 finding
moderate
“audits...had not identified issues we found including the lack of detail in safety risk assessments, lack of information in peoples' life histories, and the lack of a relevant reference”
record keeping
1 finding
minor“Care plans did not fully detail the person's personal history such as family and their interests and hobbies.”
staff competency
1 finding
moderate“references for one staff member had not been sought from the last employer, which could have revealed issues of concern.”