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.”
moderate“The provider did not ensure records relating to the provision of the regulated activity were accurate, up to date and fit for purpose.”
staffing levels
1 finding
critical“We found 50 incidences of staff being recorded in two locations at the same time for 10 minutes or longer and this did not take into account any travelling time.”
staff competency
1 finding
critical“When we checked staff files there were no records demonstrating staff had been assessed as competent.”
staff training
1 finding
moderate“Four members of staff had no records of any further training delivered by the service other than the induction training and the Care Certificate.”
safeguarding
1 finding
critical“One member of staff, who was a close family member of the registered manager, had been working unsupervised since the beginning of October 2016 without a completed DBS check.”
governance
1 finding
critical“Although the service did have systems to assess, monitor and improve the quality and safety of services provided, these were not effective in identifying the issues we found.”