moderate“one staff member had no record of supervision but had completed an induction since they started work and two other staff had a record of only one supervision since July 2018”
minor“At one location supervisions had not been as regular as at other locations. However a clear plan was in place to address this.”
consent capacity
1 finding
critical“staff and management were not fully aware of the need to ensure any restrictions on people's liberty were appropriately assessed and the correct authorisations in place via the best interests decision making process”
record keeping
1 finding
minor
“staff did not follow the provider's procedure to record any medicines a person, or their relative, may take with them from a supported living service when people had an overnight stay”
medication management
1 finding
moderate“Areas that still needed to be embedded and sustained were around practice in medicines, staff supervisions and updating care plans and risk assessments.”
governance
1 finding
moderate“In one of the localities there had been concerns that were being addressed via an action plan devised in partnership with the local authority. These actions needed to be embedded and sustained.”
care planning
1 finding
minor“Areas that still needed to be embedded and sustained were around practice in medicines, staff supervisions and updating care plans and risk assessments.”
staffing levels
1 finding
moderate“At one of the locations there had been significant concerns reported in relation to medicines management, staffing levels and staffing support.”