moderate“Audit forms relating to the care plan had not been audited and the registered manager advised that any issues were discussed directly with staff in supervision.”
minor“one care support plan used the term "consent" in multiple places but was then not signed by the service user.”
minor“one staff member had not been completing these [daily records] properly. This was discussed with the relevant staff member and improvements were made.”
missed or late visits
1 finding
critical“My carers are never on time and [registered manager] sometimes calls to say they are going to be late... it affects my care when they are late, I have to wait for a wash.”
governance
1 finding
critical“Audit tools were available for checking medicines each month but these had not been completed for the last three months.”
safeguarding
1 finding
critical“Notifications concerning safeguarding had not been sent to the CQC, the registered manager had notified the local authority. However they had not informed the CQC as required.”
supervision appraisal
1 finding
minor“Some staff we spoke to said that their supervisions were not in private. This meant that conversations staff had with the registered manager were not always confidential.”
incident learning
1 finding
minor“Safeguarding concerns were still recorded but witness statements were not always taken from all parties. This would be best practice.”
medication management
1 finding
moderate“there had been times when medicine administration records were not correctly completed with regards to codes for administration being used.”
consent capacity
1 finding
minor“two care plans consent agreements had not been signed by the person receiving care but by next of kin relatives supporting with care.”
infection control
1 finding
moderate“On the first day of our inspection when we visited the supported living service staff were not following procedure with respect to PPE and checking visitors for signs and symptoms of COVID-19.”
other
1 finding
minor“We noted that staff application forms asked prospective staff to provide details of their age and marital status. This was potentially discriminatory practice with regards to equality and diversity.”
cultural competency
1 finding
minor“Assessments recorded people's ethnicity, preferred language and religion. They did not ask about people's sexuality including if people were Lesbian, Gay, Bisexual or Transgender (LGBT).”