moderate“A management audit had identified notifications had not always been submitted to the Care Quality Commission, following discussions with the local authority safeguarding authority. These were submitted retrospectively.”
staffing levels
1 finding
minor“Concerns had been raised by a relative regarding short notice cover arrangements. The management team had apologised to the relative.”
incident learning
1 finding
moderate“The registered manager identified 2 occasions when wake night staff were found to be asleep on duty. Immediate action was taken to investigate and address this, as it posed a potential risk.”
governance
1 finding
minor“The provider was commissioning a bespoke electronic care system...currently relying on staff to notify the office, or people or their relatives telephoning if staff did not arrive.”