moderate“The service did not have an Equality Diversity and Human Right (EDHR) policy in place.”
leadership
1 finding
moderate“Some staff reported to us that they did not always feel listened to, and that they turned to colleagues for support rather than their managers.”
safeguarding
1 finding
critical“Previously we had concerns that the provider had failed to notify the CQC of some allegations of abuse.”
communication with families
1 finding
moderate
“Some health and social care professionals told us that they felt improvement was needed in terms of communication and collaboration between themselves and the provider.”
staff training
1 finding
minor“Some health and social care professionals told us that they felt care staff would benefit from more specialised training such as autism training.”
record keeping
1 finding
minor“There were proactive 'as required' (PRN) medicines pathway in place...however, these records were not dated.”
person centred care
1 finding
minor“We could not see from this documentation how people had been involved in developing their care and support plans.”
cultural competency
1 finding
minor“We have made a recommendation about ensuring people's Equality, Diversity and Human Rights (EDHR) have been explored and documented.”
staffing levels
1 finding
moderate“We need more staff. There is just enough bodies to cover the rotas. If someone is ill or on holiday everyone else has to do extra hours.”
medication management
1 finding
minor“The service had queried the appropriateness and risks of this without success, and it was subsequently a factor in a medicines incident.”