moderate“the registered provider had not displayed their current inspection rating on their website and at their office which meant they were in breach of Regulation 20A”
critical“Failure to maintain the quality of the service...is a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.”
safeguarding
1 finding
critical“Staff had not received safeguarding training and clear guidance for reporting concerns were not available to staff or people using the service.”
staff training
1 finding
moderate“The registered provider had failed to arrange such training for staff despite their intention to refresh staff training every two years.”
care planning
1 finding
moderate“The person's care plan did not provide clear guidance to staff about the person's support needs and risks associated with this or other conditions.”
record keeping
1 finding
moderate“The registered provider had not maintained complete records to demonstrate compliance with the regulations.”
consent capacity
1 finding
moderate“The registered provider and staff did not demonstrate a clear awareness or understanding of the MCA and staff had not received training in this area.”
medication management
1 finding
moderate“There were outdated medicines prescriptions in the person's care plan and generic guidance had been added to the person's care plan which did not apply to or reflect their needs.”
incident learning
1 finding
moderate“When an issue had arisen there was no record of action the provider had taken to address the failure and they were unable to recall what action had been taken.”
complaints handling
1 finding
minor“The registered provider had taken appropriate action in response to a specific concern however this had not been done within the timeframe outlined in their own complaints policy.”