critical“The provider failed to ensure sufficient oversight to monitor the quality and safety of the service. This was a breach of regulation 17 (Good governance)”
staff competency
1 finding
critical“Staff were not always recruited safely. We looked at four staff files during the inspection and identified concerns with each one.”
safeguarding
1 finding
critical“One member of staff had also started working for the service prior to their disclosure barring service (DBS) check being in place.”
supervision appraisal
1 finding
moderate“The December 2021 audit identified further improvements were required in relation to staff supervision frequency. No appropriate action had not been taken to address this.”
record keeping
1 finding
minor“we asked the provider to update this to show the dates training was completed and when updates were due”
leadership
1 finding
moderate“the service did not have a registered manager. The previous registered manager had de-registered shortly before our inspection.”