critical“One staff member repeatedly told us there was no abuse happening to people and the second staff member was unable to answer the question at all.”
governance
1 finding
critical“Quality audit systems were not embedded into practice in order to monitor the quality of the service people received.”
staff training
1 finding
critical“Records showed that not all new staff had completed the training required and there was no evidence that staff competency had been assessed.”
supervision appraisal
1 finding
critical“Records showed that no staff had received supervision within the last year. There was no system in place to track supervision.”
staff competency
1 finding
moderate“Spot checks had last been completed with four staff in March 2018. Prior to this no staff had received a spot check since May 2017.”
care planning
1 finding
moderate“Whilst we found examples where care plans contained lots of detail on people's backgrounds and routines, others contained very limited information for staff.”
end of life care
1 finding
minor“We also found a lack of detail regarding people's end of life care.”