critical“Although the service carried out an investigation into these allegations, they failed in their duties to notify the local authority safeguarding team.”
critical“The failure to operate systems and processes to safeguard people effectively and was a breach of Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014”
governance
1 finding
critical“the failure to notify CQC of a significant event was a breach of regulation 18 of the Care Quality Commission (Registration) Regulations 2009.”
leadership
1 finding
moderate
“the service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.”
incident learning
1 finding
moderate“the provider did not always work with the local authority safeguarding team and carry out their regulatory responsibilities.”