moderate“the last audit had been carried out 18 months ago.”
moderate“clear inconsistency in how the system of spot checks was applied. For some people we saw no evidence that any spot checks had been carried out.”
safeguarding
2 findings
minor“they were not clear on the limitations of their role in investigating without the instruction of the local safeguarding authority.”
moderate“When we checked records on incidents we felt that there had been some that may have warranted further investigation by the local safeguarding authority.”
supervision appraisal
1 finding
critical“staff were provided with supervision but this was on a sporadic basis for some staff rather than on a regular scheduled basis.”
staff training
1 finding
moderate“training matrix showed no recorded staff training in topics such as adult safeguarding, mental capacity, food hygiene and infection control.”
consent capacity
1 finding
moderate“the manager and care staff had not been provided with training in the Mental Capacity Act.”
record keeping
1 finding
minor“We found this required more detail about the medication which staff were administering.”
leadership
1 finding
moderate“There was no registered manager at the service at the time of our inspection.”
complaints handling
1 finding
minor“Only one person told us they had raised a concern and felt it had not been addressed, we raised this with the registered manager who was going to look into this concern.”