critical“None of the staff employment records contained written references from the referee. The registered manager had recorded in the staff's file 'satisfactory phone reference' but there was no detail of any questions asked.”
record keeping
1 finding
critical“Staff employment records had gaps in information such as employment histories. There was no evidence that these gaps had been explored by the registered manager.”
missed or late visits
1 finding
minor“There has been one missed care call. The registered manager told us this was due to a communication error.”
governance
1 finding
critical“Effective and robust checks of staff employment records had failed to identify the issues we found. Improvement was needed to the provider's recruitment policy.”
incident learning
1 finding
moderate“There was no overall accident and incident analysis system in place. We discussed this with the registered manager, who assured us a system would be implemented.”