moderate“Audits of staff files had also identified that there had been difficulties in obtaining staff references in some cases when they were requested, but staff had commenced work without all their references being obtained.”
moderate“Some records were only taken to the office infrequently. In addition, once received in the office only a sample of the records were audited.”
staffing levels
1 finding
critical“Two references had not been received before staff started work. One out of the four recruitment files we looked at had no references on file and staff had started to support people without any references.”
record keeping
1 finding
moderate
“We found no current record of car insurance they had expired in 2016...two out of the staff files we looked at had no MOT certificate and one had expired in 2015 and the other in 2016.”
leadership
1 finding
moderate“The registered manager had processes in place to monitor the delivery of the service. However, this had not been effective in rectifying the shortfall we found in recruitment.”
consent capacity
1 finding
critical“Staff and management had not completed essential training in the principles of the Mental Capacity Act 2005 (MCA) and the requirements of the relevant legislation. This is a breach of Regulation 11”
staff training
1 finding
critical“The registered manager and staff had not completed essential training in the principles of the Mental Capacity Act 2005 (MCA) and the requirements of the relevant legislation.”
medication management
1 finding
critical“A member of care staff had not followed the service's guidance...and had left medicines out for the person to take after their care call had been completed.”
infection control
1 finding
moderate“The same member of care staff had not informed the registered provider that sufficient time had not been allocated to enable them to complete the cleaning tasks.”
supervision appraisal
1 finding
moderate“Spot checks were completed by a senior member of staff...however, this process not well organised as the checks were not comprehensive and were not completed on a regular basis.”
incident learning
1 finding
moderate“Care staff had not been fully supported to understand their responsibilities to meet regulatory requirements...one member of care staff had not fully complied with some of this guidance.”