minor“Environmental risk assessments could have been more detailed in order to fully inform staff about a range of potential risks associated with pets and moving and handling equipment.”
minor“Where people were at risk of self-harm, risk assessments could have been more detailed about how this risk was to be managed and mitigated.”
minor“Care plans were not formally audited as the registered manager knew they were current as they were reviewed so frequently, between weekly and 3-monthly.”
safeguarding
1 finding
moderate“The registered managers had not notified us of 2 safeguarding concerns that had occurred within the service as they were not aware this was required.”
record keeping
1 finding
minor“Records did not initially reflect this however the registered manager had documents such as emails to evidence repeatedly requesting references.”
consent capacity
1 finding
minor“Whilst the provider was working within the principles of the MCA, they had not routinely been completing MCA assessments, or making best interest decisions for people.”
governance
1 finding
moderate“The provider notified CQC about some events that happened in the service however had not notified us of 2 safeguarding concerns.”