moderate“Staff we spoke with demonstrated an understanding of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards, they had not received training in this.”
minor“There were some gaps in training that we recommend the provider makes sure missed training sessions are completed by the relevant staff.”
supervision appraisal
2 findings
moderate“Regular supervisions or appraisals had not taken place, with some staff having only received one supervison this year.”
minor“I rang last week to speak to a manager but one wasn't in. They have had quite a few managers but they don't last long. One lasted two weeks.”
medication management
2 findings
minor“We recommend that the service consider the current guidance on managing medicines that need to be administered 'when required' and take action to update their practice accordingly.”
minor“We recommend that the information on when to use this medicine plus the expected interval between doses was updated...there was not regular recording to state whether the medicine was effective.”
staffing levels
2 findings
minor“We are six people down. We're trying to recruit but there isn't the interest and often the people who apply are not the right calibre for this work.”
moderate“We are always short staffed, I work 1:1 with a 2:1 client most shifts, the manager puts themselves in for support and don't attend the shift.”
leadership
1 finding
moderate“Staff felt very undervalued and said morale was very low, they were extremely short staffed and the managers higher up were not supportive.”