critical“medicines records were not being completed or were not available to be reviewed during the inspection. There were no records of medicines competency assessments for staff.”
record keeping
1 finding
critical“daily logs that were inconsistent with the number of hours people were allocated, including examples where entries did not align with staff timesheets.”
governance
1 finding
critical“The provider had failed to notify CQC of all safeguarding incidents and other notifiable incidents since the last inspection, of which they have a legal requirement to do so.”
staff competency
1 finding
critical“Safer recruitment procedures were not always followed. The provider did not follow their legal requirement to have a record of full employment histories.”
care planning
1 finding
moderate“Information about the risks related to the management of diabetes, epilepsy and distressed behaviours were not fully assessed. This included a lack of clear guidance for what staff needed to do.”
communication with families
1 finding
minor“records for a person stated, 'Always try and keep client calm by providing effective communication', but there was no further information included about their communication needs.”
consent capacity
1 finding
minor“people's care records were not always clear about their ability to be involved in and supported to make specific decisions about their everyday care.”