critical“One person who had started to receive care and had a live-in care worker did not have completed risk assessments in place.”
record keeping
1 finding
critical“Staff files were not fully complete and were missing some key documents...none of the staff files we saw contained written references from previous employers.”
staff training
1 finding
critical“One staff member who was in a placement as a live-in carer had not received any initial or mandatory training with the organisation before starting.”
governance
1 finding
critical“We could not be assured that the systems in place were operated to address service shortfalls identified. This was a breach of regulation 17.”
incident learning
1 finding
moderate“There had been some notifiable incidents which the CQC had not been notified about.”