critical“Appropriate records were not always maintained, up to date and complete. This was a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014”
person centred care
1 finding
moderate“People's views were gathered, but these were not always analysed and used to improve on the quality of the service.”
complaints handling
1 finding
moderate“One person said, 'When we complain, they tell us 28 days for response, and we don't hear back again'. A complaint log we reviewed did not include detailed information.”
infection control
1 finding
moderate“People told us the cleanliness could be better and that they had greasy kitchen floors, bed bugs and mice in their home.”
record keeping
1 finding
moderate“Accident and incident records did not always include enough detail to demonstrate the lessons learnt. Staff interview notes were not maintained to evidence the selection process.”
incident learning
1 finding
minor“Accident and incident records did not always include enough detail to demonstrate the lessons learnt. The manager told us that lessons were learnt... however, these actions were not always recorded.”
leadership
1 finding
moderate“At the time of our inspection there was not a registered manager in post. The previous manager resigned from their post in January 2022.”