moderate“Robust recruitment checks were not completed when staff commenced employment. We reviewed three staff files and found gaps in their employment history”
moderate“Risk assessments had been completed but these required more detail to ensure they covered all required risks and actions for staff to take”
governance
1 finding
critical“There were no formalised quality assurance systems in place to demonstrate how the provider was maintaining oversight of the service”
record keeping
1 finding
critical“There were no recorded audits of the care records, daily records, recruitment files or staff support systems to check the quality”
supervision appraisal
1 finding
moderate“there were no records of staff supervisions, competency assessments or spot checks that had been undertaken to ensure staff were supported and competent”
staff competency
1 finding
moderate“There was a lack of formal processes to support the shadowing opportunities for new staff and to demonstrate how their competencies had been assessed”
care planning
1 finding
moderate“Although a care plan was formed from the assessment it was not clear from the information what tasks staff should support the person with.”
leadership
1 finding
moderate“At the time of our inspection there was not a registered manager in post.”