moderate“incidents were not always fully investigated, lessons learned were not always documented and themes and trends were not identified.”
governance
1 finding
moderate“During the inspection we found one incident had not been reported to CQC, however, once this was raised with the registered manager, she immediately rectified it.”
record keeping
1 finding
minor“The training matrix used by the service at the time of the inspection was not up to date and did not reflect the current training needs of staff.”
staff training
1 finding
minor“staff had not received mandatory Oliver McGowan training for people with learning disabilities and autism. When this was raised with the registered manager, she took immediate action.”