critical“Whilst an epilepsy risk assessment was in place, this lacked guidance on the steps to take if the individual experienced a seizure whilst swimming, in the shower or trampolining.”
record keeping
1 finding
moderate“Risks associated with road safety had also not been addressed, monitored or mitigated... information was not recorded on what that support looked like.”
staff competency
1 finding
critical“One staff member started to work for the provider in February 2022... a DBS check was not made until June 2022... employed and working for four months without the appropriate recruitment checks.”
infection control
1 finding
moderate“The provider was unable to demonstrate that one staff member was regularly completing lateral flow tests as per the provider's policy and also in line with national guidance.”
governance
1 finding
critical“The audit failed to identify the shortfalls we found during the inspection. For example, lack of risk assessments around management of epilepsy when accessing the local community.”
incident learning
1 finding
moderate“The provider's quality assurance failed to identify that risk assessments did not consider the risk of the person experiencing a seizure whilst accessing the community.”