moderate“lunchtime call is half hour early. I told them; they keep saying they have a lot on. It is all the time. Every week.”
moderate“We have had missed calls on 2 occasions when they have struggled to get staff.”
care planning
1 finding
critical“for one person who received medication for epilepsy, there was no care plan or risk assessment in place to advise staff on how to support them safely if they experienced a seizure.”
safeguarding
1 finding
critical“the registered manager had failed to notify CQC of a safeguarding concern, as required to do so by law, that had been bought to their attention.”
governance
1 finding
moderate“Systems and processes to ensure monitoring and oversight of the service had failed to identify some issues found on inspection.”
communication with families
1 finding
moderate“You don't know what's going on, this is the first staff meeting for months, the last one was in October and we were told the next would be in 6-8 weeks.”
record keeping
1 finding
moderate“care records did not always hold the most up to date information regarding people and their care needs.”
staff training
1 finding
minor“There's a lot of training on the computer, but no face to face training for a while; it would be nice to see someone face to face.”
incident learning
1 finding
minor“The latest analysis of this information had not identified any patterns or trends for future learning.”