critical“The provider did not have a safeguarding policy in place.”
staff competency
1 finding
critical“Staff were unable to demonstrate the required level of competency for their role.”
staff training
1 finding
critical“Staff did not receive the training and support they needed to ensure they could provide safe and effective care.”
care planning
1 finding
critical
“The person's risk assessment and care plan did not contain enough detailed and personalised information to ensure staff were able to provide the person with safe, person-centred care”
governance
1 finding
critical“The provider had not carried out any audits of the service and had not identified any of the failings we found during our inspection.”
leadership
1 finding
critical“The registered manager was difficult to contact and was not always available.”
infection control
1 finding
critical“The provider's infectious diseases policy did not contain any information for staff about COVID-19.”
incident learning
1 finding
moderate“The provider had not always learned lessons when something had gone wrong.”
supervision appraisal
1 finding
critical“Staff had not received any supervision from the provider and there was no record of their probationary period”
complaints handling
1 finding
critical“The provider did not have a complaint policy or procedure in place.”
person centred care
1 finding
moderate“The person's care plan was task focused and did not contain any information for staff about how the person wanted tasks carried out”
record keeping
1 finding
moderate“accidents and incidents had not always been recorded. The provider had not recorded any details about an injury the person had experienced.”
other
1 finding
critical“The provider had not carried out any checks with the Disclosure and Barring Service (DBS) for staff.”