moderate“The registered manager was not fully able to demonstrate a robust understanding of their regulatory requirements.”
moderate“At the time of the inspection quality assurance systems were being developed.”
safeguarding
1 finding
critical“Safeguarding procedures had not always been followed... had not recognised the need for a safeguarding referral.”
incident learning
1 finding
critical“The registered manager was not confident about when they needed to inform CQC of events that happened in the service as required by regulation.”
staff training
1 finding
moderate“We were concerned the version of the Care Certificate being used meant staff were completing on-line training in over thirty different areas within a week.”
consent capacity
1 finding
moderate“they were not able to demonstrate confidence in their understanding of MCA and deprivation of liberty and felt they would benefit from additional training”
care planning
1 finding
moderate“a risk assessment in relation to moving and handling lacked the detail needed to make sure staff knew what to do to ensure the person's safety.”
complaints handling
1 finding
moderate“Complaints were not always managed appropriately... had not demonstrated a robust approach in making sure procedure was followed”