critical“The provider had not always assessed risks relating to medicines management comprehensively, in line with national guidance.”
critical“competency assessments, but these were not recorded so we could not check whether they were appropriate.”
critical“The provider was unable to show us any recent medicines records during the inspection which indicated they had not audited them.”
supervision appraisal
1 finding
critical“staff did not receive structured supervision or appraisal and the registered manager told us they stopped recording supervision over a year ago.”
governance
1 finding
critical“The provider's audits to check people received a good standard of care were lacking because they had not identified and resolved the concerns we found.”
record keeping
1 finding
critical“Records of risk assessments and care plans, staff supervision and appraisal, medicines records, daily logs and staff recruitment in particular were insufficient.”
care planning
1 finding
moderate“for one person the provider was unable to evidence they had assessed their needs as there were no pre-assessment records nor care plans to guide staff.”
staff competency
1 finding
moderate“the provider did not always carry out sufficient checks of previous work history and performance. We checked two staff files and found the provider had obtained only one reference for each.”
infection control
1 finding
minor“The management team told us they carried out checks of infection control practices to ensure staff followed current guidance, but these were not recorded.”