critical“1 person had no risk assessment in place for staff to follow relating to their epilepsy and diabetes.”
record keeping
1 finding
moderate“audits had not always identified missing information within care plans despite being reviewed recently.”
staff training
1 finding
moderate“agency staff did not have the necessary training to support the people using the service.”
governance
1 finding
moderate
“agency staff did not have access to this information. Agency staff only had access to people's paper care plans however the quality of the information available for agency staff varied.”
incident learning
1 finding
moderate“There had been some under reporting of accident and incidents at the service.”
leadership
1 finding
moderate“At the time of our inspection there was not a registered manager in post.”
person centred care
1 finding
minor“The service held regular meetings with people to ask them their views on their support. However, these were not always recorded formally.”