moderate“the majority of staff told us they felt unsupported, communication was poor and any issues or concerns they raised either with the office staff or management team were either not responded to or not followed up.”
governance
1 finding
moderate“no assurance was provided as to what action would be taken in the interim period by the registered manager, in recognition of staff unease and the potential impact it may have on the people”
care planning
1 finding
moderate“People who received catheter care, or who were prescribed blood thinning medicines we found to have no risk assessments in place and minimal guidance for staff to follow.”
communication with families
1 finding
minor“staff did not always feel engaged or empowered and felt there was a lack of consistency in how well the service was managed and led.”