minor“Further development of the provider's record keeping was needed across the service to demonstrate that the actions the managers had taken such as exploration of staff backgrounds during the recruitment processes.”
staff competency
1 finding
minor“the registered manager would benefit from documenting their decisions to employ staff when there was limited information about the applicant.”
consent capacity
1 finding
minor“More detailed records of the provider assessment and the outcome of their assessment of specific decisions, would help demonstrate that people were assessed and supported in line with the MCA principles.”
end of life care
1 finding
minor“The registered manager acknowledged this was an area that needed further development to ensure people's end of life care wishes and preferences were known by key people”
cultural competency
1 finding
minor“The provider acknowledged that they need to expand and consider all the protected characteristics (as defined by the Equality Act 2010) as part of their assessment.”
governance
1 finding
minor“The provider was aware of the need to expand their quality monitoring systems to effectively monitor and record their quality assurance processes as the service develops and expands.”