critical“Governance processes had not always been used effectively to identify improvements. For example risk assessments did not all have guidance for staff to mitigate risks.”
staff training
1 finding
critical“The registered manager was unable to provide evidence of training for staff who worked at the supported living service.”
staff competency
1 finding
critical“Assessments of the competency of staff who administered medicines had not been completed.”
record keeping
1 finding
moderate
“The registered manager told us staff did not administer medicines; however, records completed by staff suggested they did. This had not been identified through checks.”
care planning
1 finding
moderate“When people's care plans were taken to the office to be updated, they were not always returned promptly and did not always reflect changes to the person's care needs.”
staffing levels
1 finding
moderate“There were gaps in some new staff's employment histories. This meant the registered manager could not be fully assured the staff were suitable to work with vulnerable adults.”