critical“People's care plans had not always included all the necessary information to ensure risks to people were assessed as necessary.”
moderate“people's care plans were not detailed enough and required more information to ensure effective care delivery.”
safeguarding
2 findings
critical“Some staff could not tell us what types of abuse they should be identifying and reporting to the manager as necessary.”
moderate“the safeguarding policy viewed required updating... safeguarding policy and procedure did not include the description and types of abuse.”
staff training
1 finding
critical“some staff had very recently completed training in relation to people's support of dignity, they did not understand this concepts”
supervision appraisal
1 finding
moderate“Although the manager told us they carried out regular supervisions, records were not available to ensure that any actions agreed were followed-up on”
governance
1 finding
critical“Quality assurance processes in place were not always operated effectively... no systems in place to ensure that on-going checks were carried out”
record keeping
1 finding
moderate“there was no evidence to suggest that staff's references were obtained... Staff's job interviews were also not recorded”
leadership
1 finding
moderate“The manager of the services was not aware of their regulatory responsibility to notify the CQC about the events that affect the care provision.”