critical“The provider had failed to seek and act on feedback about the environment from people using the service, those acting on their behalf, staff and other stakeholders. Breach of Regulation 17.”
infection control
1 finding
moderate“Lino in a bathroom had holes in it, making it difficult to clean which posed an infection control risk.”
staffing levels
1 finding
moderate“Service action plan: 'Staff working above and beyond to allow us to maintain staffing and keep safe, but not sustainable and we are one incident away from not being able to do so.'”
record keeping
1 finding
minor“Not all regular audits took place, for example weekly room checks, sling (safety) checks and weekly checks of wheelchairs, hoist and door alarms.”
communication with families
1 finding
minor“We did receive feedback from one family who said they had little communication from the service.”