minor“there was not always evidence of regular formal supervision in the staff records we looked at. The manager acknowledged that this was an area they needed to improve on.”
moderate“Formal staff supervision was not being carried out regularly. The manager told us that they were looking to improve the frequency of these.”
governance
2 findings
critical“The previous registered manager had left their job role in July 2018 and had not de-registered with the Care Quality Commission. The current manager...had not registered with the CQC.”
minor“People had been asked for feedback in surveys carried out in August 2018. The manager told us that they had not had time to collate the information from this survey yet.”
medication management
1 finding
minor“Topical medicines such as creams were being administered by staff members and were being signed on MAR charts as 'administered by staff'. This was not best practice.”
care planning
1 finding
moderate“People with specific needs such as dementia or diabetes did not have thorough risk assessments covering how staff should support them in these areas.”
consent capacity
1 finding
minor“Where necessary, capacity assessments had been completed in line with guidance. Though these were recorded correctly it was unclear how decisions had been reached in some cases.”