critical“For one person that had been in employment for four weeks, no criminal records check to the Disclosure and Barring Service (DBS) had been requested.”
critical“The other member of staff did not have reference checks in place.”
consent capacity
1 finding
moderate“We found capacity assessments needed clarity to demonstrate how a person's capacity had been assessed; and to ensure a person's mental capacity was assessed independent of their mental health.”
staff training
1 finding
moderate“The registered manager and one staff member had received training in the MCA. However, further training was needed.”
governance
1 finding
moderate“Although the audits undertaken had identified some areas for improvement, they had not been effective in identifying the areas for improvement that we found.”
record keeping
1 finding
minor“Systems were not in place to ensure all records, such as care plans included a date that they were written. This makes it difficult to know if the care plans are up to date and valid.”
leadership
1 finding
moderate“The registered manager who was also the provider had not ensured their responsibility to keep people safe through safe recruitment practices was met.”