critical“eleven staff had not had formal supervision for more than six months...breach of Regulation 18 of the Health and Social Care Act 2008 (Regulated Activity) Regulations 2014, Staffing.”
governance
1 finding
critical“quality assurance system was not sufficiently robust in leading to improvement and that record keeping was poor...breach of Regulation 17(2)(a)(c)”
record keeping
1 finding
moderate“record keeping at the office was inconsistent and made some information difficult to locate...paper copy of the most recent support plan and review documentation was not always held”
staff training
1 finding
moderate“Training records showed that some staff were overdue their routine refresher training...gaps in refresher training on safeguarding, first aid, food hygiene, medication and moving and handling.”
care planning
1 finding
moderate“some people's annual care review was overdue, which meant that the registered provider had not consistently ensured that all people's care plan was up to date.”
consent capacity
1 finding
minor“one care file where family had signed consent...no information about the person's capacity...not possible to ascertain whether they had the appropriate authorisation to provide consent”
medication management
1 finding
minor“there were no formally recorded audits of medication documentation and practice”