critical“The registered manager failed to report a safeguarding concern to the local authority.”
medication management
1 finding
critical“There were not effective systems in place for recording medicines and ensuring the safe administration of them to people.”
infection control
1 finding
critical“Systems had not been established to assess, monitor and mitigate risks of infections being caught or spread by staff to people.”
care planning
1 finding
critical
“Risk assessments and care plans were not up to date, complete or accurate.”
record keeping
1 finding
critical“Systems or processes were not established and operating effectively to maintain securely an accurate, complete and contemporaneous record of a persons care and treatment.”
complaints handling
1 finding
critical“Systems and processes were not established and consistently operating effectively to ensure the accurate recording, investigation and response to complaints.”
governance
1 finding
critical“The registered manager had not ensured systems or processes were established and operating effectively to assess, monitor and improve the quality and safety of the service.”
leadership
1 finding
moderate“There was a lack of managerial oversight of the service to ensure the timely and thorough documenting, assessing and mitigations of risks within peoples care plans.”
incident learning
1 finding
moderate“Systems and processes were not established and effective to ensure the recording, investigation and learning from incidents.”
staff training
1 finding
moderate“The registered manager had not ensured staff had been trained in food hygiene to ensure the safe and appropriate preparation and storage of food.”
consent capacity
1 finding
moderate“Systems and processes were not established and operating effectively to ensure the requirements of Deprivation of Liberty orders were understood and adhered to by staff.”