moderate“Systems in place to monitor the service were not always effective. Some audits showed issues had been identified but not resolved and others showed issues had not been identified.”
medication management
1 finding
minor“The reconciliation concerns for one day had not been actioned in a timely manner.”
record keeping
1 finding
minor“There were no records to indicate which staff had attended [fire drills]. Following the inspection, the registered manager sent us a blank staff fire drill register they planned to use.”
infection control
1 finding
minor“Kitchen cupboards were very old, and the surface area was lifting and damaged in several places...this was not planned in the short term.”
safeguarding
1 finding
moderate“We informed the registered manager that staff needed reminding about who they could report to externally if this was needed.”
consent capacity
1 finding
minor“CCTV was in place in communal areas...there was no assessment found about why the CCTV was needed or if people and staff had consented to its use.”