moderate“Audits around the quality of care or staff competency were not formally documented or recorded to inform service improvement.”
critical“two safeguarding incidents had been reported to the local authority but not reported to CQC as required.”
record keeping
1 finding
moderate“care records lacked sufficient details, and we found two examples where a risk assessment and care plan had not been developed for an identified health need.”
care planning
1 finding
moderate“People's care plans lacked sufficient detail to guide staff.”
incident learning
1 finding
moderate“monitoring systems did not look for trends, patterns or causes.”
staff competency
1 finding
minor“Although staff told us competency checks had been carried out, we could not see that these had been formally recorded.”