moderate“The registered manager did not have effective systems to support them to have full oversight of the service.”
care planning
1 finding
moderate“Written risk assessments and care records were task focused and did not reflect the person-centred care people received.”
record keeping
1 finding
minor“Recruitment folders were not well ordered. It was difficult to track what actions had been taken and if there were any gaps.”
complaints handling
1 finding
minor
“Complaints records were not well ordered and it was difficult to track the actions that had been taken to concerns.”
incident learning
1 finding
moderate“The registered manager did not have formal systems to check issues had been dealt with or to pull together learning to help ensure mistakes did not re-occur.”
safeguarding
1 finding
critical“The registered manager was aware of their responsibilities around notifying CQC, however had not sent in a key notification around a safeguarding incident.”
end of life care
1 finding
minor“Staff told us they had not had specific training around end of life. We discussed this with the registered manager, who told us there was training booked for August 2023.”