moderate“Evenings are particularly difficult, though it works there is no back up if something goes wrong.”
medication management
1 finding
moderate“Staff were not always clear about what the provider's policy was regarding people's medicines.”
governance
1 finding
moderate“Robust systems and governance had not been in place. For example, there had been a lack of formal review processes and audits”
staff training
1 finding
moderate
“two thirds of staff were not up to date with training in moving and handling people and half of staff were not up to date with health and safety training.”
supervision appraisal
1 finding
moderate“Staff told us they had not had yearly appraisals but that the new manager was 'taking an interest in staff' and 'sorting this out.'”
leadership
1 finding
moderate“Staff told us they did not always feel they were getting clarity and support from the management team.”
record keeping
1 finding
minor“During the first day of our inspection, staff recruitment records were incomplete.”
person centred care
1 finding
moderate“the service was not always able to meet people's preferences for male or female carers. They told us there were no agreements in relation to this in people's care plans.”