critical“The provider failed to ensure staff were sufficiently trained and competent. This was a breach of regulation 18 of the Health and Social Care Act 2008.”
staff competency
1 finding
critical“No formal induction process was in place... there were also no records to evidence staff competency had been assessed to ensure they had the skills to support people safely.”
governance
1 finding
critical“The provider did not operate effective systems and processes to assess and monitor the quality and safety of the service. Breach of Regulation 17.”
record keeping
1 finding
critical“Staff files did not give evidence that safe recruitment practices had been followed... Full employment histories, proof of identity, a recent photo, and references were not available.”
medication management
1 finding
moderate“Staff were signing the medication administration record (MAR) to say they had administered the persons medication, although the policy states 'P for physical assistance will be used.'”
care planning
1 finding
moderate“Risk assessments, and the care plan in place, did not always include sufficient information to guide staff to provide safe care and support.”
safeguarding
1 finding
moderate“Not all staff had received training in safeguarding vulnerable adults. Information received showed 2 staff had not completed refresher training in safeguarding vulnerable adults.”
infection control
1 finding
minor“Staff were not working in line with the policy in relation to wearing face coverings... Covid risk assessment was not up to date and was last reviewed on 22 August 2020.”
supervision appraisal
1 finding
minor“Supervisions had recently started to take place to provide support to staff. The provider also planned to arrange team meetings.”