critical“The location did not have a registered manager, which is a condition of their registration. The provider was in the process of recruiting a new manager at the time of our inspection.”
moderate“one incident was not notified to CQC in a timely way. This was submitted retrospectively. Improvement was required to the provider's systems to ensure no other notifications were inadvertently missed.”
incident learning
1 finding
moderate“There was a quality assurance system in place, but it was not always clear from records what action was taken in response to issues identified.”
leadership
1 finding
moderate
“There had been several management changes since our last inspection, and this had impacted on aspects of consistency and staff morale.”
supervision appraisal
1 finding
minor“some shared lives carers felt communication from the organisation could be improved.”
staff training
1 finding
minor“not all staff finished this within the timeframe expected. There were also some shared lives carers who were overdue aspects of their training.”