critical“During the inspection we observed staff using an abrupt tone of voice to one person.”
critical“This was a breach of regulation 10 (dignity and respect) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.”
moderate“we saw one example where a person had become upset during this process because it was not person-centred”
moderate“people and their families were not always consulted about who they lived with in line with current guidance.”
governance
2 findings
moderate“Monitoring systems did not always pick up shortfalls and the provider did not always know when to submit statutory notifications about serious events to the CQC.”
moderate“the provider did not always know when they had a legal duty to submit statutory notifications to the CQC such as following incidents that involved the police.”
staff competency
1 finding
moderate“one staff member had not disclosed their employment history. This is necessary for the provider to be assured the person is suitable for working in the caring profession.”
medication management
1 finding
minor“A medicines policy was available online for reference, however this did not cover certain aspects of care; for example when people were away from home with staff.”
staff training
1 finding
minor“a relative told us further skills were needed in the area of restrictive practices.”
leadership
1 finding
minor“The provider was not aware of the guidance but demonstrated areas of the service that gave people good experiences.”