moderate“Some audits had not always been effective in identifying the issues around record keeping we found.”
minor“some questions about the directors and managers had higher number of negative responses. The registered managers explained addressing these issues were priorities for the coming year.”
communication with families
2 findings
minor“One relative said, 'I have phoned the office many times and sometimes they don't pass the message on.'”
minor“two relatives we spoke with told us they would like more information from the service. The registered manager told us they would look at how this could be improved”
medication management
1 finding
moderate“Some medicine documentation needed to be reviewed. This included 'as required' medicine protocols which describe how people should be supported and the impact they have had.”
staff competency
1 finding
moderate“Some staff competencies were out of date, the provider was going to address this immediately.”
record keeping
1 finding
moderate“Records in connection with medicines and training needed to be improved. Some support plans needed to be reviewed to ensure they were still relevant, up to date.”
leadership
1 finding
moderate“There had not been a registered manager at the service for many months, however, a recent application had been submitted for processing.”
supervision appraisal
1 finding
minor“Some of the management team admitted one to one supervision sessions and team meetings were behind usual timescales.”
staff training
1 finding
moderate“Not all staff had received all their ongoing training in line with the providers policies. The training matrix was not fully accurate.”
infection control
1 finding
minor“One service did not have an appropriate risk assessment in place regarding non-use of mask wearing with some people using the service.”
staffing levels
1 finding
minor“Some staff told us they found long shifts difficult. This was a key theme in a recent staff survey.”