minor“staff did not have a formal way of monitoring and recording the temperature. This was introduced during the inspection which included a thermometer placed in the room and a chart to record daily temperatures.”
critical“Four staff files showed references had been requested but three staff had started work with only one reference in place rather than two references.”
moderate“staff knew to monitor where people were in the building to help keep them safe but this approach had not been recorded in people's care records or in staff handover.”
infection control
1 finding
minor“one room was due to have the carpet replaced with specialist flooring. A health professional said this was the only room where staff were struggling to manage the odour issues.”
person centred care
1 finding
minor“People's bedroom doors were numbered; there were no signs to help people identify their rooms.”
governance
1 finding
moderate“The provider had not included the recruitment process as part of his quality assurance audits.”
consent capacity
1 finding
minor“best interest decisions needed to be better documented, such as the use of alarmed mats. A best interest decision was not documented for a person assessed as not having mental capacity.”