minor“Some people using the service and their relatives said communications from the office when staff were late for their calls, could be improved.”
supervision appraisal
1 finding
moderate“We checked supervision records, which indicated discussions in these meetings was very brief and the sessions were not regular. We noted staff did not receive annual appraisals.”
consent capacity
1 finding
moderate“The provider did not have robust systems to provide care in line with the MCA at the time of our inspection...the provider had not carried out MCA assessments and ensured decisions were made in people's 'best interests'”
governance
1 finding
moderate“The quality assurance processes in place had not identified the issues we found relating to the MCA.”
record keeping
1 finding
minor“For some people the provider had 'repositioning charts' in place...For other people staff recorded repositioning within daily care notes. This meant it was more difficult for the provider to audit.”
staffing levels
1 finding
minor“when their usual staff went on leave or were sick people and relatives told us they were often not provided with replacement staff who knew them well.”