moderate“As we were completing our draft report we received further information of concern relating to the management of behaviours and governance of the household.”
moderate“the household infection control audit had not been expanded to reflect the provider's COVID-19 practices and protocols. This meant the audits had not identified some of the inconsistencies relating to the wearing of PPE”
infection control
2 findings
moderate“the provider's COVID-19 infection control practices including their visitors screening requirements and national guidance had not been fully adopted and implemented by staff members at one household.”
moderate“Risk assessments for staff and people had not been updated when people or staff had declined the COVID-19 vaccine to identify potential risk of transmission of the virus.”
staffing levels
1 finding
moderate“they acknowledged work was still needed to recruit and embed a permanent and consistent staff team. An influx of new starters was imminent”
staff competency
1 finding
moderate“People may not be supported by staff who were skilled to support them as effective systems were not always used to ensure recommendations from staff disciplinaries were actioned and implemented in a timely manner.”
staff training
1 finding
minor“it was not always clear that new staff had completed the required care certificate where relevant and the required number of probation meetings in line with the provider's induction policy.”
communication with families
1 finding
minor“Two relatives felt the principles of a key worker scheme to improve communication and the involvement of people in decisions about their life was not always reliable.”