minor“health and social care professionals told us that there had been occasions when meetings had been arranged in people's home and on arrival to the home, no one was home.”
minor“We kept ringing and texting, asking what was happening, we didn't hear a thing. Communication with relatives needed to be strengthened.”
governance
2 findings
minor“These were not always easy to follow as some records were paper based and others on the IT system, but issues had been highlighted and actioned appropriately.”
moderate“we identified shortfalls in areas relating to risk management and DBS checks. However, the provider's quality monitoring system had not identified them.”
infection control
2 findings
moderate“the providers system for collecting testing information was not robust enough to capture weekly evidence of staff testing, meaning the provider did not have a complete understanding of the COVID-19 status”
moderate“some members of staff had declined to be vaccinated against COVID-19 but were still providing personal care to service users, many of whom were clinically vulnerable”
record keeping
1 finding
moderate“'Incident reports will often state "showed behaviours" rather than describing the behaviour and its impact. Daily records are sparse, and lack detail to evidence how individual support to manage behaviours is being delivered'”
safeguarding
1 finding
moderate“There had been occasions when there was a delay in reporting incidents to the local authority.”
care planning
1 finding
moderate“After our inspection we received information from professionals about the service not always following their guidance. An example included a care plan not having detailed enough information in when a person became anxious.”
staff training
1 finding
minor“Staff told us that received regular supervision and records confirmed this for most staff. The registered persons agreed to schedule in supervisions for those staff that were overdue.”
missed or late visits
1 finding
minor“One relative told us that recently a call had been missed and she or her relative were not informed.”
staff competency
1 finding
moderate“the provider did not have an on-going system in place to follow up on the check of criminal records. The provider could not demonstrate they were assured staff continued to be suitable”