moderate“Quality assurance processes had not yet been embedded into practice to evidence the quality of the service provided.”
moderate“The service was still relatively new...but there was a lack of recorded audits.”
staff training
1 finding
minor“Staff training was not always up to date and some newer staff had not completed mandatory online training.”
staffing levels
1 finding
critical“Recruitment processes had not met the requirement of the regulation around the safe recruitment of staff.”
record keeping
1 finding
critical“The registered manager had not kept a full record of periods of employment, showing beginning and end dates, together with an explanation of periods of non-employment.”
staff competency
1 finding
minor“We discussed more formal records of staff competency would provide additional evidence of their competency and directed the registered manager to this information.”
supervision appraisal
1 finding
minor“Staff were supported by regular supervision, although no staff had received an annual appraisal as the agency had not been operating that long.”