critical“a person was at risk of falls and had risks associated with skin integrity and diabetes. We found these risks had not been sufficiently assessed and there was a lack of detailed guidance in place for staff”
record keeping
1 finding
moderate“aspects of a person's care plan were not detailed or up to date... sections of a person's care plan were not consistent with others and had not been updated”
staff competency
1 finding
critical“Where staff had worked in previous roles in health and social care, we found employment references had not been requested or obtained.”
governance
1 finding
critical“the provider was not completing any audits or checks of staff recruitment records... The service was asked to complete the PIR in May 2021, however no response was submitted to CQC.”
supervision appraisal
1 finding
moderate“support staff were not receiving formal supervision in line with the provider's procedure... this member of staff was not receiving regular supervision or an appraisal”
person centred care
1 finding
minor“care records did not sufficiently detail the person's preferences and choices, for example, with personal care support.”