critical“Systems for assessing and monitoring the quality and safety of the service had not been consistent or always applied effectively.”
moderate“some of the governance systems had not been consistently maintained or had not always been effectively implemented.”
staff competency
1 finding
moderate“The provider could not always be assured that agency staff were working at the home safely.”
safeguarding
1 finding
moderate“One area of the home was accessible to people when it was not safe for them to do so. This was a risk known to staff which had not been addressed.”
other
1 finding
critical“staff were still in the practice of wedging open the fire doors on people's bedrooms. This prevented them from automatically closing and offer people protection in the event of a fire.”
staffing levels
1 finding
minor“The provider told us that they had struggled to recruit a full staff team. They were making significant use of agency staff to ensure enough staff were present at the home.”