moderate“Staff had not been carrying out covid tests in line with government guidelines.”
moderate“Risk assessments had not been carried out to look at any increased risks to people and staff, although some measures were in place.”
governance
2 findings
moderate“Systems and process to manage quality were not robust. The provider undertook some audits; however, these could be further detailed to ensure all areas were monitored.”
moderate“Further oversight was required to ensure government guidelines and best practice was followed in relation to COVID-19 and recruitment.”
staff competency
1 finding
moderate“Recruitment was not robust. Staff recruitment processes were in place, but these were not always consistently followed.”
record keeping
1 finding
moderate“Records to evidence the safe recruitment of staff was not always in place. For example, references were missing from two files.”
staffing levels
1 finding
moderate“The registered manager was having to cover care calls due to staffing shortages. They were actively recruiting.”
care planning
1 finding
minor“Staff had good knowledge on how to mitigate individual risks to people. However, risk assessments were not always detailed.”