critical“One notification was not submitted to the CQC for an allegation of abuse at the Canterbury House supported living scheme.”
critical“The provider's systems to monitor the care people received were insufficient. Although there was a wide range of audits in place these had not identified or resolved the concerns we identified”
incident learning
2 findings
moderate“audits in place these had not identified or resolved the concerns we identified regarding notifications, gaps in staff employment histories and personal emergency evacuation plans.”
moderate“A professional told us they were concerned incidents were not always reported externally when necessary. This meant incidents may not always have been reviewed”
record keeping
2 findings
minor“risks relating to how individuals would be supported to evacuate in case of an emergency were not always fully recorded although they had been assessed.”
critical“Staff did not always have access to accurate records about people because two set of care plans were in place for each person on the first day of our inspection.”
safeguarding
2 findings
critical“The registered manager had not always sent us notifications in relation to significant events that had occurred in the service as required by law, such as any allegation of abuse”
moderate“poor oversight of financial transactions meant people could be at increased risk of financial abuse.”
staff competency
1 finding
minor“The provider did not always explore gaps in people's employment records and the registered manager told us they would do so going forwards.”
care planning
1 finding
critical“These paper care plans were sometimes inaccurate e.g. one stated a person required food to be prepared in a way which could cause them harm.”
leadership
1 finding
moderate“the service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.”