moderate“Records to reflect that all appropriate recruitment checks were undertaken before staff started work were not in place and although staff said they felt supported and received supervisions, no records of these were kept.”
governance
1 finding
moderate“The provider had quality assurance systems in place, however they were not fully effective as they had failed to identify the need for maintaining relevant records.”
staff competency
1 finding
moderate“Observations to ensure staff competency in administration of medicines were not recorded.”
supervision appraisal
1 finding
moderate“Although staff said they felt supported and received supervisions, no records of these were kept.”
care planning
1 finding
minor“Care plans were personalised however some lacked detailed information about people's preferences. For example, where people were supported with their medicines this was not always reflected.”
consent capacity
1 finding
minor“Records regarding people's ability to consent needed to be clearer and some care plans required more detail.”
cultural competency
1 finding
minor“The assessment process did not always ensure people's protected equality characteristics were identified. The registered manager told us they would amend the document used to ensure this was covered.”