critical“There were no systems in place at the time of our inspection to review key performance data, including undertaking trend analysis of complaints, incidents and accidents.”
minor“the registered manager relied on people using the service to inform them when staff did not turn up or were delayed”
staff training
1 finding
critical“The training matrix showed some staff had not received their refresher training on safeguarding adults, medicines administration and manual handling.”
record keeping
1 finding
critical“Some people's care records had not been reviewed meaning there was a risk that these records would not accurately reflect people's current support needs.”
care planning
1 finding
moderate“One person's records did not provide sufficient information and detail about the person's needs and what was to be provided throughout the day.”
incident learning
1 finding
moderate“Robust systems were not in place to ensure ongoing monitoring of the quality of service delivery and ensure learning from incidents and complaints.”
supervision appraisal
1 finding
moderate“There was no system in place to ensure regular spot checks on the quality of support provided and there were no records kept of the spot checks completed.”