critical“the provider's quality assurance checks were not robust enough to identify this issue and statutory notifications that needed to be submitted to the Care Quality Commission were not sent.”
staff competency
1 finding
critical“We were not assured that the provider operated robust recruitment procedures.”
record keeping
1 finding
moderate“One staff file had an incomplete employment history with only one date against their previous employment... The references stated on the application form were not from their previous employers”
supervision appraisal
1 finding
moderate“Staff supervision meetings were not recorded. For example, one care worker who had completed their induction in February 2022 did not have any supervision meetings on file.”
safeguarding
1 finding
moderate“where a complaint had been received which included allegations of abuse, the local authority was not notified of this in a timely manner.”
complaints handling
1 finding
moderate“their complaints policy needed to be updated to make the process clearer in relation to how complaints would be managed if the complaint raised included an allegation of abuse.”
end of life care
1 finding
moderate“end of life care plans and people's wishes in relation to their end of life care often lacked detail about specific wishes about how people wished to be cared for during the end of their lives.”
medication management
1 finding
minor“there were no guidelines for staff to follow in relation to medicines that were required as needed for people who were not able to articulate when they were in pain due to their diminished capacity.”