moderate“Some audits and quality checks/visits had not always happened as planned but staff had consistently provided high levels of care to people.”
minor“The provider had recognised notifications to CQC had not always been completed in a timely way and had put in place actions to rectify this.”
supervision appraisal
1 finding
moderate“Staff supervisions had not happened as regularly as the provider's policies set out. The provider had identified this and made prompt changes to address this.”
staff competency
1 finding
moderate“Some competence checks had not been completed in line with the provider's processes. The provider had identified this and undertaken competence checks of staff.”
incident learning
1 finding
minor“This system gave the functionality to learn lessons from local incidents and share more broadly. This had not happened as much as the provider would have expected.”
leadership
1 finding
moderate“There had been a lack of meaningful oversight at registered manager level in the months prior to our inspection, which the provider had identified and taken action on.”