minor“not all strategies were recorded fully. For example, when a risk assessment stated a person was at risk from crossing the road the strategies did not detail what staff should do.”
governance
1 finding
moderate“New systems and processes were in place to support the provider to have effective oversight of the quality and safety of the service. These had not yet been embedded”
staff competency
1 finding
moderate“no new staff had been employed at the service since the previous inspection. We were therefore unable to monitor the effectiveness of the new processes”