critical“2 safeguarding notifications had not been sent to us. We raised this with the registered manager who took action to send these notifications retrospectively to us.”
moderate“Quality assurance tools had not always identified areas of improvement which were required around people's cream records and staff travel times.”
record keeping
1 finding
moderate“Where audits had identified areas of improvement were required, actions to address these required improved were not recorded to evidence these improvements had been made.”
safeguarding
1 finding
critical
“The registered manager had not notified CQC as required of all safeguarding referrals they had made.”