critical“Safe recruitment practices had not always been used to ensure fit and proper staff had been employed to provide the regulated activity of personal care. This was a breach of regulation 19”
record keeping
1 finding
moderate“people's risk and medicines management plans on their electronic care management system did not always reflect the paper copy care plans. This may cause confusion and potentially lead staff to deliver inappropriate care.”
governance
1 finding
moderate“The systems to monitor that the provider's recruitment policy had been followed had not been robust in identifying gaps in staff recruitment processes.”
supervision appraisal
1 finding
minor“Staff supervisions were being completed for all staff individually or as part of handovers between the live-in carers, although this was not always recorded to evidence their discussions.”
infection control
1 finding
minor“A system to monitor the frequency and results of staff's bi-weekly COVID-19 tests had not been implemented to ensure that staff were testing in line with government guidance.”
consent capacity
1 finding
minor“The registered manager recognised that people's consent to care and support in making choices about their day to day living and best interest decisions needed to be more explicit in their care plans.”