moderate“records contained a range of historical and current information which did not all show they reflected people's current support needs”
moderate“People's care and support plans or personal information was not easily accessible to the management team at their head office.”
care planning
2 findings
moderate“Some support plans showed they had been written in 2014 or 2015 and they did not all show they had been up-dated since then to accurately reflect people's current needs.”
critical“Risk assessments were not in place for all identified risk...such as for the management of epilepsy or self-harm.”
governance
2 findings
moderate“the audits had not identified areas of improvement identified at inspection”
moderate“Audits and checks were completed. Some improvements were required, including those in connection with monitoring medicines as they were not fully implemented.”
safeguarding
1 finding
moderate“A safeguarding log was in place...it did not include that the safeguarding team had been notified, who was investigating the incident where required and the outcome of the safeguarding.”
staff training
1 finding
moderate“all training was provided by e-learning. This meant staff did not receive face-to-face training for courses with a practical element such as for fire training and moving and assisting.”
staffing levels
1 finding
moderate“if a member of staff called in sick it meant the member of staff was unable to go off duty after spending 72 continuous hours on the premises as no other members of regular staff may be available”
medication management
1 finding
minor“Medicines were generally managed safely, although we did find some recording issues.”
incident learning
1 finding
minor“The information was not always recorded on the providers IT systems for management to fully monitor as there had been a change in IT processes.”
person centred care
1 finding
minor“Outcomes were not always recorded fully or reflective of support or opportunities provided.”
communication with families
1 finding
minor“Surveys were not fully analysed, or feedback recorded. We discussed this with the registered manager who said this was going to be addressed.”