moderate“Quality performance systems had not ensured that actions necessary to ensure robust safe systems were carried out. Some of these actions had remained outstanding since October 2022.”
staff training
1 finding
moderate“Staff training had been impacted by the staffing challenges the team had faced. Staff had not completed all the training the provider had outlined as necessary for their roles.”
staff competency
1 finding
minor“We identified that this had not been undertaken and recorded in line with organisational policy for two members of staff.”
medication management
1 finding
moderate“One member of staff had been administering medicines without a formal competency assessment.”
consent capacity
1 finding
minor“The records did not always reflect the legal framework that the MCA provides for decisions about care and support.”
record keeping
1 finding
minor“Safe recruitment processes were in place but had not always been followed. We noted omissions in 2 files.”