moderate“One person's relative had signed some areas of a person's support plan instead of the person...had not determined if the person would have been able to do this for themselves.”
moderate“Risks associated with people's needs had been assessed, but not fully explored to ensure all risks were managed in a safe way.”
consent capacity
1 finding
moderate“Some decisions had been made for a person without following the legal framework to consider if the person was able to make these decisions for themselves.”
incident learning
1 finding
moderate
“There was no process to analyse accidents and incidents to monitor themes and trends to reduce reoccurrence.”
infection control
1 finding
moderate“Staff confirmed they had not had any up to date training on infection control...only two staff had completing the training for infection control.”
staff training
1 finding
moderate“11 staff had not completed challenging behaviour training. 14 staff had not completed training for complaint handling, Equality and diversity, food hygiene and risk assessments.”
supervision appraisal
1 finding
moderate“Staff supervision had not taken place on a regular basis...supervision; spot checks and annual appraisals were not always completed or recorded.”
governance
1 finding
critical“This was a breach of Regulation 17 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.”
complaints handling
1 finding
minor“They dealt with complaints and concerns as they arose but did not always record the outcome...we could not identify if the complaint was dealt with appropriately.”
staffing levels
1 finding
moderate“Staff told us there was a new person coming to live at the shared living accommodation and they were concerned about the number of staff.”
leadership
1 finding
moderate“Staff felt the registered manager was not approachable or fully supportive. They also told us they felt the management of the service was disorganised.”