moderate“care plan audits had not identified inconsistent quality in relation to risk assessments or MCA records. Staff audits did not identify issues with some staff's employment end dates not being recorded.”
supervision appraisal
1 finding
moderate“staff were not always aware of whistleblowing procedures or consistently supported via structured supervisions.”
leadership
1 finding
moderate“Some staff members told us they did not always feel comfortable raising concerns to management or if concerns were raised, these would not be acted upon.”
consent capacity
1 finding
moderate“We found examples of mental capacity assessments which were not decision specific. The service was not consistently confirming if relatives had the required Power of Attorney.”
record keeping
1 finding
minor“1 person's risk assessment indicated they required thickener in their drinks, however this had been reviewed by the speech and language therapist and was no longer required.”
staff competency
1 finding
minor“the service was not always recording staff's employment end dates and there was the risk of employment gaps not being fully explored.”