minor“the audits carried out so far were limited in detail and did not clearly detail what was reviewed. Audits had not yet been embedded in practice.”
staff competency
1 finding
minor“not all character references were verified to check their authenticity. We raised this with the nominated individual who confirmed that he would contact the relevant referees and verify them”
medication management
1 finding
minor“the nominated individual explained they did not yet have an electronic medication administration recording system in place.”
leadership
1 finding
moderate“At the time of our inspection there was not a registered manager in post. Until a registered manager was appointed, the nominated individual was responsible for supervising the management”