critical“the organisation had 7 staff vacancies. During our inspection, 4 staff from one particular house resigned which increased the number of staff vacancies to 11.”
moderate“Even though they are better than the previous agency. We are very disappointed, as at times we have been left with no care.”
consent capacity
2 findings
critical“restrictions were in place which had not been authorised in people's best interests... no approved authorisations agreed by the court of protection.”
minor“during the care planning process, senior staff did not always document decisions, which they had made on behalf of people, in accordance with the legislation.”
medication management
1 finding
critical“we found no PRN protocol for the use of Timodine Cream, Daktacort Cream, Daktarin Miconazole nitrate cream and Laxido.”
care planning
1 finding
moderate“one person's care plans failed to detail the required actions staff should take to reduce the possibility of acquiring an infection.”
governance
1 finding
critical“The providers governance arrangements failed to drive improvement on a consistent basis.”
record keeping
1 finding
moderate“We found no records in place demonstrating staff had repositioned the catheter, emptied the bag or they had received appropriate training in this area.”
leadership
1 finding
moderate“Managers and staff were not always clear about their roles and responsibilities which created inconsistency in respect of oversight and leadership.”
staff training
1 finding
moderate“Two staff told us they didn't know what cleaning products should be used and said they had not received training in this area.”
safeguarding
1 finding
moderate“it was noted in one person's care plan they may exhibit behaviours which could place people at risk of harm... it failed to provide sufficient guidance to ensure all people were supported to stay safe.”
supervision appraisal
1 finding
minor“I haven't had much management support, they've given excuses saying they are busy.”