minor“The registered manager recognised that the need for this action reflected a shortfall in the provider's auditing processes.”
moderate“these governance systems were not always operating effectively because they had failed to pick up a number of issues we identified during our inspection”
record keeping
1 finding
minor“two staff had incomplete applications. Following our on-site visit the registered manager ensured that staff provided the missing information to complete the forms.”
staff training
1 finding
critical“most staff had not received or updated their training in relation to safeguarding adults, moving and handling, food hygiene, infection control, Mental Capacity Act 2005”
supervision appraisal
1 finding
critical“staff had not had individual or group supervision meetings with the registered manager on a regular basis, nor had their overall work performance been appraised yearly”
missed or late visits
1 finding
moderate“We're never sure when staff are coming…They're all very nice, but their time keeping is very poor.”
staffing levels
1 finding
moderate“staff time keeping continued to be a problem, which had been made worse by having a large number of staff vacancies”
safeguarding
1 finding
moderate“Staff knew how to recognise and report abuse, despite not having completed up to date safeguarding training.”
other
1 finding
critical“one new member of staff's file did not include an update DBS check... had recently allowed one new member of staff to start working unsupervised”