critical“Mental capacity assessments and best interest decisions were not always decision specific or were not being completed. The policies and procedures in place were not being followed.”
medication management
1 finding
moderate“we found guidance for staff when administering 'as required' medication lacked detail... lack of evidence that all staff administering medication had received regular competency checks”
staff competency
1 finding
moderate“we saw examples of staff caring for a child but were not trained on children's first aid or learning disability”
staff training
1 finding
moderate“we could not confirm all staff had received this training before they started supporting people”
staffing levels
1 finding
moderate“The recruitment [could be improved], there are not enough staff to cover the hours”
missed or late visits
1 finding
moderate“Some people and relatives shared feedback in relation to missed visits, lack of consistency in the staff team and the impact this had on the quality and safety of care.”
care planning
1 finding
moderate“we saw examples of moving and handling risks assessment which lacked detail in relation to the equipment used”
governance
1 finding
moderate“some of the issues found at this inspection had not been previously identified in the provider's own audits”
record keeping
1 finding
minor“information was not readily available to evidence equipment used by staff had passed the required Lifting Operations and Lifting Equipment regulations checks”
other
1 finding
moderate“we saw one example of one staff member starting to work without the adequate checks fully completed”