critical“we found an incident had occurred which we would have expected to be shared with the local authority and reported to CQC.”
record keeping
1 finding
moderate“The registered manager did not complete audits of care plans; this meant some gaps in people's files had not been identified.”
consent capacity
1 finding
moderate“1 person's medicines were in a locked cupboard out of their reach and no assessment for this decision had been completed.”
staff competency
1 finding
moderate
“Staff we spoke with did not describe all the conditions and risks to the people they supported. We were not assured they had read or understood all the information in care plans.”
governance
1 finding
moderate“The service did not have call monitoring processes... The registered manager had not submitted any notifications at the time of our inspection.”
staff training
1 finding
minor“They had not received training in learning disability, or any other conditions service users may have, such as diabetes.”
leadership
1 finding
moderate“The registered manager did not have a contingency plan for the service if they were unable to work. They had a relatively inexperienced staff team with no support.”
care planning
1 finding
minor“One care plan did not include guidance for staff for a person who needed a low sugar diet.”