critical“The failure to ensure a robust approach to monitoring the quality and safety of the service is a breach of Regulation 17 of the Health and Social Care Act 2008”
staff competency
1 finding
critical“The failure to ensure a robust system is in place to recruit only suitable staff is a breach of Regulation 19 of the Health and Social Care Act 2008”
record keeping
1 finding
moderate“Another member of staff did not have an application form on file. There was no evidence of past employment history or education.”
care planning
1 finding
moderate“Some areas assessed as being high risk had a one sentence description of how to keep people safe. For example, 'to have regular activities and support'”
medication management
1 finding
moderate“The medicines audit was not completed as regularly as it should have been...individual MAR's were only checked once every five months.”
consent capacity
1 finding
moderate“Some measures in place to keep people safe from harm were of a restrictive nature...thought had not always been given to informed decision making to enable the least restrictive option”