critical“Written protocols for the safe use of 'when required' medicines did not always provide staff with enough information to ensure these medicines were managed safely.”
governance
1 finding
critical“The provider's governance was ineffective to improve the quality of the service delivery. This is a breach of regulation 17, Good governance.”
care planning
1 finding
moderate“The care plan did not provide staff with relevant information about the person's health condition, or the importance of suitable and regular meals.”
record keeping
1 finding
moderate“Records showed a number of people did not have an up to date review regarding their care needs and people also raised concerns about this.”
staff training
1 finding
moderate“Staff had not received any training relating to other ethnic groups in relation to skin, hair care or health conditions specific to certain ethnic groups.”
cultural competency
1 finding
minor“There was no evidence managers promoted equality and diversity in all aspects of the running of the service.”
staff competency
1 finding
moderate“Training records did not provide evidence that the person who carried out these assessments were skilled to do so.”
leadership
1 finding
moderate“Quality assurance questionnaires showed people were unaware of who the registered manager was. The provider has obtained a rating of requires improvement 3 times for this key question.”