critical“We found the medicines audit, care plan audit and recruitment process could be more robust to identify the issues we found in the safe and responsive domain.”
staff training
1 finding
moderate“Training compliance rates needed to be improved. There was no training in place relating to learning disabilities and autism, which is a requirement.”
supervision appraisal
1 finding
moderate“Staff were supported through supervision, however supervisions were not happening in line with the providers policy.”
record keeping
1 finding
moderate“Some elements of people's care plans would benefit from further information adding. People with diabetes did not have enough information recorded.”
care planning
1 finding
minor“People with diabetes did not have enough information recorded to ensure staff had a full awareness of the condition.”
incident learning
1 finding
minor“Systems around how this information was shared with staff needed to be improved.”
consent capacity
1 finding
minor“Records relating to consent needed to be clearer... records did not explicitly state that consent was given.”
staff competency
1 finding
critical“One person did not have a Disclosure and Barring Service (DBS) check in place before their employment commenced. A risk assessment had also not been appropriately carried out.”