critical“one person had a history of seizures, however there was no risk assessment detailing signs to look out for and what action to take in the event of a seizure.”
record keeping
1 finding
minor“this person's care plan had not been updated to reflect this change at the time of the inspection.”
staff training
1 finding
minor“we noted that care workers had not completed end of life training and this was confirmed by the registered manager.”
governance
1 finding
moderate
“The service's checks and audits were not effective in identifying the issues found with regards to risk assessments and staff employment checks.”
staff competency
1 finding
moderate“there were instances where referee details were limited and there was a lack of evidence to confirm that character references had been verified.”