moderate“the lack of formal documentation meant we were not assured themes from incidents would be identified.”
governance
1 finding
moderate“There was a lack of systems and processes to ensure oversight and governance of the service and people had not been asked for feedback on the care they received.”
staff training
1 finding
minor“we found some unexplained gaps in employment history. The registered manager told us the application form would be amended to ensure this was completed fully.”
care planning
1 finding
moderate“they had not had a review since, and the review process was unclear with no evidence of people's involvement.”
supervision appraisal
1 finding
moderate“There was no evidence in the records we reviewed that any areas for improvement had been identified or positive feedback given.”
communication with families
1 finding
moderate“No one we spoke with recalled being sent a survey or asked for feedback and no one had been informed they may receive a call from us.”
person centred care
1 finding
minor“some people told us they felt rushed by some staff, who did not give them time to, for example, wash the areas they could do on their own”
staffing levels
1 finding
minor“we were also told that staff are never available to contact in the office in the afternoons. One person said, 'There's a general feeling they're a bit tight on staff.'”