critical“The service did not have robust processes to monitor the quality and safety of the service. This was a breach of Regulation 17 [Good governance]”
medication management
1 finding
moderate“staff were not recording this on a medicines administration record (MAR) as per national guidance.”
staff competency
1 finding
moderate“The registered manager did not have a system to monitor staff competencies...there was no process for ongoing assessment.”
safeguarding
1 finding
critical
“they had not submitted a notification to CQC for an ongoing safeguarding concern.”
supervision appraisal
1 finding
moderate“They did not monitor staff competencies, spot checks or supervisions. There were no audits to assess the quality of the service.”
incident learning
1 finding
moderate“there was no system to identify themes from safeguarding concerns, incidents or complaints.”
leadership
1 finding
minor“The registered manager worked 30 hours per week for another organisation...we were not assured they could have full oversight of care packages.”