critical“The providers oversight systems were not robust. The systems had not identified the recruitment policy was out of date and had not been followed when making recruitment decisions.”
staff competency
1 finding
critical“We found some checks had not been carried out correctly with the Disclosure and Barring Service (DBS) when people were recruited.”
medication management
1 finding
moderate“Topical medicines were not consistently included on people's medication administration record, which meant people were at risk of not receiving prescribed medicines.”
care planning
1 finding
moderate“Risk assessments were not consistently documented. For example, skin integrity risk assessments and medicine administration.”
record keeping
1 finding
moderate“Audits had not identified where initial assessments were not documented, risk assessments and care plans were not documented.”
leadership
1 finding
moderate“The registered manager did not have an effective oversight of the service. The quality assurance processes had failed to identify the issues we found at the inspection.”