moderate“Incidents and accidents were recorded appropriately, and appropriate action taken, but records did not always include an analysis or evidence of lessons learned.”
care planning
1 finding
moderate“Risk assessments included the risk level such as low, medium or high. However, they did not show how the risk was calculated and what the risk level was once measures were in place to reduce this.”
infection control
1 finding
moderate“People's records included a COVID-19 risk assessment. However, these lacked details and did not consider people's age, medical history, and any conditions which put them at higher risk should they contract the virus.”
staffing levels
1 finding
minor“The registered manager told us they had struggled with staff shortages during the pandemic, as some of the staff had left and it had been difficult to recruit new ones.”
staff training
1 finding
minor“The training matrix indicated some of the training was overdue.”
communication with families
1 finding
minor“there was no explanation as to what the sounds or facial expressions meant and how to interpret these.”
complaints handling
1 finding
minor“I have complained, and they don't seem to get back to me. There is a lack of engagement and they don't appear to deal with issues.”