critical“an allegation had been made by a service user against a member of staff... no further action had been taken. The provider had failed to act in accordance with their own policy”
governance
1 finding
critical“Current governance arrangements had failed to identify the concerns identified during the inspection relating to the appropriate escalation, notification and management of safeguarding concerns.”
staff competency
1 finding
critical“provider had failed to ensure a full employment history had been obtained as required. Additionally, the dates of employment on the references did not correspond with that on the staff member's application form.”
care planning
1 finding
moderate“Where people had known risks, for examples in relation falls and skin integrity, some care records required further development to record risk mitigation measures staff could follow.”
incident learning
1 finding
moderate“There were currently no clear systems in place to report and learn from any accidents and incidents.”