moderate“not all risks had been assessed. For example, one person who needed assistance with continence did not have a risk assessment in place”
record keeping
1 finding
moderate“An assessment of health and safety of premises...had not included a plan to evacuate safely in the event of fire or whether there were smoke detectors installed”
medication management
1 finding
minor“The provider had a policy and procedure for the receipt, storage, administration and disposal of medicines...This had not included when to take as needed medicines.”
complaints handling
1 finding
minor“Complaints received since the last inspection had been investigated. Complainants had not received a written response to their complaints.”
governance
1 finding
minor“Quality audits, surveys and reviews were carried out to drive improvement of the service. Some needed to follow up issues that had been raised.”
staff competency
1 finding
minor“one reference from a previous care employment had come from a work colleague, not management. This did not provide objective assessment of whether there were any concerns”
communication with families
1 finding
minor“There had been a complaint about some staffs communication skills...some staff whose first language was not English, needed to have support to develop their English speaking skills”