critical“We were not assured that all staff were using PPE effectively, safely and in line with best practice guidance.”
staffing levels
1 finding
critical“There were not always enough staff to meet people's needs effectively. The provider had identified this and were taking action to address staffing levels.”
consent capacity
1 finding
critical“The failure to assess people's capacity and record best interest decisions risked compromising people's rights.”
governance
1 finding
critical
“The failure to operate fully effective systems to continuously assess and improve the quality of the service was a breach of regulation 17”
safeguarding
1 finding
moderate“the provider had failed to inform the local safeguarding authority following an incident at Hapstead village... they had failed to make a timely referral to the local authority.”
supervision appraisal
1 finding
minor“due to the impact of the pandemic on staffing levels, they had not managed to fully complete their normal supervision processes/records.”
other
1 finding
critical“the failure to notify CQC of a significant event was a breach of regulation 18 of the Care Quality Commission (Registration) Regulations 2009.”