critical“in three of the five files seen there was just one reference, in another file there were no references.”
minor“these would be improved if staff had documented more details...staff had not recorded what the person had been able to do themselves.”
minor“It was not clear if the actions had been completed as these had not been signed off.”
staff competency
2 findings
critical“the provider had not ensured that robust recruitment procedures were followed to make sure only suitable staff were employed”
moderate
“Staff had not received competency based training to check that they were using this equipment safely. Some staff had been shown how to use the equipment by physiotherapists.”
staffing levels
1 finding
critical“We saw on one of the five staff files viewed that there was no current enhanced Disclosure and Barring Service (DBS) check for that member of staff.”
staff training
1 finding
minor“The Care Certificate had not yet been embedded. However the facilitation director advised that the provider was planning to role this out to new staff very shortly.”
complaints handling
1 finding
minor“The provider's complaints policy did not include information about where to go outside of the organisation if people were unhappy with the provider's response.”
governance
1 finding
minor“When we checked the provider's website we found that the rating had not been displayed, we discussed this with the management team.”