critical“the provider failed to ensure people were assessed in line with the MCA before asking them to provide written consent to various decisions around their care and treatment.”
critical“People who lived with an impairment of the mind or brain had not been assessed for any potential restrictions to their liberties in line with DoLS.”
incident learning
1 finding
critical“the provider failed to notify the Care Quality Commission about serious injuries.”
governance
1 finding
critical“During the inspection we identified a number of incidents which should have been notified to CQC but were not.”
staffing levels
1 finding
moderate“Staff told us daytime staffing levels were sufficient however they felt at night time more staff were needed.”
staff competency
1 finding
moderate“We could not be sure the interim manager and senior staff had enough understanding of the MCA to ensure the principles of the Act were met in a person-centred way.”
other
1 finding
minor“some staff told us they had been asked to undertake non-care based duties when employed as a support worker which included domestic and decorating duties.”