critical“induction training that staff received covered a large range of information in a short time. This meant that no subject was covered in real detail.”
staff competency
1 finding
critical“provider failed to ensure persons employed were of good character and had the qualifications, competence, skills and experience necessary for the work to be performed”
record keeping
1 finding
critical“references that had been provided for one staff member appeared to have been written by the same person, despite being from different, national companies.”
medication management
1 finding
critical“medicines people were prescribed were not recorded in their care plans and there was a lack of clarity about the role of the staff when supporting people with their medicines.”
governance
1 finding
critical“systems used to monitor the quality and safety of the service were not always effective...managers had not picked up all the areas of concern we identified at the inspection.”
care planning
1 finding
moderate“care plans were not always person centred and lacked detail...very little person centred information about what was important to people in how staff provided their care and support.”
staff training
1 finding
moderate“Staff training was not recorded in any central register to help the provider to keep track of the training undertaken by staff or when updates were due.”
supervision appraisal
1 finding
moderate“There was no central register of when staff supervisions and annual appraisals had taken place.”
consent capacity
1 finding
minor“service did not provide any, more specific training on the MCA...three people's contracts were due for review in June 2016 and we saw no evidence that this had taken place.”