moderate“limited quality assurance systems in place to review staff files and recruitment, risk assessments, health and safety checks, staff training and policies and procedures.”
record keeping
1 finding
moderate“For most staff there was no record of interview and explanations for gaps in employment were not recorded.”
staff competency
1 finding
moderate“systems to assess staff competency in medicines administration required improvement...this competency assessment was not recorded and there was no schedule for competency to be assessed regularly.”
infection control
1 finding
moderate“The provider did not have an infection control policy in place and staff had not received sufficient training in infection control.”
care planning
1 finding
minor“the provider did not keep a record of their assessment meeting with the person. This meant they did not have an accurate record to enable reflection on the discussions that had taken place.”
end of life care
1 finding
minor“The provider's policies required further development to detail the support staff would provide to people in preparing for the end of their life.”
staff training
1 finding
minor“the induction package was not based on current guidance and did not follow the principles of the Care Certificate. Care staff had not received training in MCA.”