moderate“Prior to March 2023, the provider had not evidenced they had reviewed incident and accidents to identify lessons learned to mitigate risk to people.”
moderate“Themes and trends had not been recorded in order to learn and improve the service and the care being provided.”
governance
1 finding
moderate“There was no evidence regular audits had been completed for all people who received care.”
staff training
1 finding
minor“They had not completed the provider's 'Autism and eating disorders across the lifespan' or the 'Oliver McGowan learning disability and autism training'.”
supervision appraisal
1 finding
minor“The new management team were in the process of completing supervisions and appraisals for all staff.”
record keeping
1 finding
minor“One person's MCA contained inconsistent information that did not accurately reflect the person's capacity and the status of their LPA.”