critical“there was little evidence of this in the form of certificates...The registered manager told us they did not have this information.”
staff competency
1 finding
critical“Recruitment procedures were not being operated effectively to ensure that persons employed were of good character and had the qualifications, competence, skills and experience.”
supervision appraisal
1 finding
moderate“There was no formal system for supervising staff and the registered manager told us they did not record anything that came out from discussions with staff.”
governance
1 finding
critical“there were no formal systems to monitor the quality of the service...systems were either not in place or robust enough to demonstrate safety was effectively managed.”
record keeping
1 finding
moderate“Records relating to the care of people and the general running of the service were inconsistent.”
medication management
1 finding
minor“staff were applying a medicated cream that had been provided by a district nurse. This was not being recorded by staff.”
end of life care
1 finding
minor“the registered manager told us that she had spoken with people about planning their end of life care...this had not been recorded on people's care plans, so the section was blank.”
leadership
1 finding
moderate“The registered manager did not have enough time or understanding of their role to ensure their responsibilities in running the service were clear.”