critical“one person recently identified as, 'deteriorating' and 'at risk of falls,' and another person who required two staff to use equipment during transfers, did not have the required risk assessments present”
governance
1 finding
critical“failure of the provider to ensure systems and processes were effectively established and operated to assess, monitor and improve the quality and safety of the services provided is a breach of Regulation 17”
medication management
1 finding
moderate“There was no formal audit process in place for the registered manager to effectively and regularly monitor all aspects of the recording and management of medicines.”
staff training
1 finding
moderate“six staff were over a year overdue for their medicine's management update training. Staff were able to complete this training online... This had not been identified prior to this inspection.”
record keeping
1 finding
moderate“We found inconsistencies in how information was currently being recorded, stored and monitored by staff and managers.”
leadership
1 finding
moderate“the second of the two registered managers (now also Head of Operations) nor a third (also new to post) were unable to provide evidence of audits they had completed at Advance Cornwall.”