critical“The provider's quality monitoring processes failed to identify gaps in staff recruitment records, which we had found at this inspection.”
care planning
1 finding
moderate“Some people's care plans stated they needed support with meals, but the care plans were not specific about what that support should be.”
staff training
1 finding
moderate“Not all staff had received training in how to support people with learning disabilities and autistic people.”
communication with families
1 finding
moderate“The provider needed to improve 'the way in which concerns are escalated to GP and social care' and that there should be 'better communication with social care'.”
record keeping
1 finding
critical“The registered manager had failed to formally notify us about a recent person's death.”
incident learning
1 finding
moderate“Consider how concerns are escalated by carers and how managers then report these concerns to health and social care agencies.”