critical“staff had signed as given daily. For another person staff had completed care notes to state medication was given when medication was unavailable.”
staffing levels
1 finding
critical“There were not always enough staff to meet people's needs. Some people told us that staff were sometimes late or did not stay for the allocated amount of time.”
staff competency
1 finding
critical“Moving and handling training was poor, it was about 10 mins. Slide sheets aren't being used correctly.”
care planning
1 finding
moderate“risk assessments and associated care plans did not always contain consistent information to support staff to mitigate risk.”
governance
1 finding
critical“Systems and processes had not consistently identified the issues we found during the inspection. For example, where we found issues with medication this had not been identified on the medication audit.”
staff training
1 finding
moderate“Staff had not received training in supporting people with a learning disability but had completed an autism awareness course.”
person centred care
1 finding
minor“for one person who was recorded as actively practising their faith; we found a lack of staff guidance in the care plan on what support they may need to practice their beliefs.”
communication with families
1 finding
moderate“They don't let me know, it never matches times on rota so I just sit and wait for them to turn up.”
record keeping
1 finding
moderate“We found inconsistencies and errors within care plans. These errors meant staff did not have clear guidance on how to support people.”
cultural competency
1 finding
minor“Religion and culture were recorded in care records but there was a lack of guidance for staff on how to support people.”