critical“Audits were ineffective and not reviewed regularly. We found these to be mostly tick box audits, without associated action plans, timescales for completion or staff identified as responsible.”
staff training
1 finding
moderate“Staff had not started the Care Certificate...induction lacked detail and comprised of 1 day of training which does not evidence a robust induction was completed.”
staff competency
1 finding
moderate“We did not see any records of 'spot check visits'. The latter enables the registered manager to observe the member of staff as they go about their duties.”
supervision appraisal
1 finding
minor“Staff had received supervision. However, we did not see any records of 'spot check visits'.”
record keeping
1 finding
moderate“We saw gaps in recruitment files, such as an application form not containing full employment history and staff were employed before relevant references were obtained.”
medication management
1 finding
minor“medication competency assessments...were completed in theory without the registered manager observing staff supporting a person with medication.”
end of life care
1 finding
minor“There was limited information in the support plans we reviewed relating to people's end of life wishes.”