critical“Training statistics for some mandatory training were low and some competency assessments related to specific tasks were not in date.”
staff competency
1 finding
critical“Two staff members were providing a specific task for a person with complex needs had not had their competency checked since 2018.”
governance
1 finding
critical“The provider's quality assurance processes had not identified the concerns found during the inspection in relation to staff training, skills and competencies.”
leadership
1 finding
moderate“We were not yet assured the provider who was also the registered manager had a good understanding of their role and responsibilities in relation to the conditions of their registration”
medication management
1 finding
moderate“medicine was administered to two people with complex needs in a specific way and we were not assured this was within the scope of the providers registration.”
care planning
1 finding
moderate“Two people that used the service had been receiving care without an appropriate healthcare professional providing oversight.”
missed or late visits
1 finding
minor“There was mixed feedback about late calls, however the provider had recognised this and was working on reducing this.”