critical“on over 50 occasions there were not 2 staff available to provide support and the person's relative had to provide additional support.”
safeguarding
1 finding
critical“Notifications relating to significant events that had occurred at the service, for example allegations of abuse, had not always been submitted to the CQC.”
governance
1 finding
moderate“2 relatives had raised concerns during a care review relating to staffing. This was documented on the review record, but staff had taken no follow up action.”
communication with families
1 finding
moderate“relatives had raised concerns during a care review relating to staffing … the registered manager was unaware concerns had been raised.”
person centred care
1 finding
moderate“They put [Person] to bed at 4 - 5 pm which is not fair on her and far too early … I don't know whether it is lack of staff or they can't get staff to work past 5pm.”