critical“In another staff file there were no references and no evidence of a Disclosure and Barring Service (DBS) check.”
staff training
1 finding
critical“Training records showed two staff had not completed any of the training courses.”
supervision appraisal
1 finding
critical“There were no records of supervision taking place during 2021 in the files we looked at.”
governance
1 finding
critical
“There were insufficient systems in place to audit the service to ensure requirements were met.”
medication management
1 finding
moderate“There were some gaps alongside prescribed dose times on medicines administration charts (MARs).”
care planning
1 finding
moderate“One care plan said the person needed support with haircare and washing but there was no guidance for care workers on what type of support was needed.”
consent capacity
1 finding
moderate“The provider was not aware of the need to assess people's mental capacity and did not have documentation in place.”
record keeping
1 finding
minor“A concern was raised by a staff member. The nominated individual told us how this was followed up. However, there was no record of the action taken.”
complaints handling
1 finding
minor“The complaints procedure did not contain the contact details for the service although these were included on a form for people to complete.”
leadership
1 finding
moderate“The service did not have a registered manager in post. The nominated individual told us they had advertised for a manager.”