moderate“Medicines audits were not always robust. For example, they did not always sample enough MARs for the size of the service and had not always identified issues with MARs.”
record keeping
1 finding
moderate“People's care needs were not always recorded in detail in their care plans. People did not have access to these records.”
care planning
1 finding
minor“People's care records did not always show how people were involved in their assessments or designing their care.”
staff training
1 finding
moderate“Staff had not always received training in learning disabilities and autism, which the service specialised in.”
consent capacity
1 finding
moderate“Although staff sought consent from people prior to providing their care, people's consent was not being recorded.”
governance
1 finding
moderate“The provider's quality assurance systems had not always identified issues we found during this inspection, including with medicines, consent and staff training.”
incident learning
1 finding
moderate“We were not assured all relevant incidents were being identified and reported to CQC. The provider told us they had identified this shortfall.”
supervision appraisal
1 finding
minor“The provider had identified improvements were needed to staff appraisals. They had started to take action to ensure staff received appraisals routinely.”