critical“The service did not maintain accurate, complete and contemporaneous records in respect of people receiving care and support.”
moderate“Records were not always accurate, up to date and easily accessible... it was not clear what staff had completed training.”
governance
2 findings
critical“We found that the service did not always assess specific risks associated with people's care, maintain their own contemporaneous records...Instead they relied on...the sub-contracting agency.”
moderate“The systems in place to regularly assess and monitor the quality of services provided were not effective, and were not undertaken on a regular basis.”
care planning
2 findings
moderate“Care plans did not always contain enough information about the support the person required.”
critical“Risk assessments were completed by the local authority and not by the service. This meant people who used the service and staff were potentially at risk of accident and injuries.”
consent capacity
2 findings
moderate“Where people did lack capacity to make specific decisions...the service had not documented any information relating to this and...decisions made in the persons best interests had not been recorded.”
critical“The provider did not act in accordance with the Mental Capacity Act 2005. The service did not have a policy on the Mental Capacity Act.”
supervision appraisal
2 findings
moderate“Records confirming supervision and annual appraisals were not always available...supervisions and annual appraisals were not always formally recorded.”
moderate“One staff member had no recorded supervision since September 2014. We asked the registered manager why the staff member had not had supervision.”
medication management
1 finding
critical“Staff were not suitably trained to administer medicines in line with legislation, guidance and as per the organisation's medicines policy.”
staff training
1 finding
moderate“The registered manager told us that induction for new staff was completed in six and half hours... we were not assured the induction programme prepared staff for their role.”
staff competency
1 finding
critical“The service did not have robust recruitment process. The registered manager told us the service did not have a recruitment policy and procedure.”