critical“The principles of MCA were not consistently followed. Assessments of people's capacity to make specific decisions...had not always been completed”
person centred care
1 finding
critical“people's support needs were often planned on a group basis. For example, in relation to meal planning and activities these were mostly group based.”
care planning
1 finding
critical“People had individual support plans but these did not always address all their needs...People had no recorded assessed goals or ambitions to work towards.”
cultural competency
1 finding
critical“There was no exploration of people's needs in relation to their protected characteristics such as their culture, sexuality or sexual orientation”
governance
1 finding
critical“The system for monitoring the quality of the service had not identified the issues and breaches of regulations we found at this inspection.”
staff training
1 finding
moderate“we found some gaps in refresher training and training for new staff in relation to specific areas such as the administration of some emergency medicines”
staff competency
1 finding
moderate“staff we spoke with were not all confident in its use following the training”
infection control
1 finding
moderate“the stair bannister at one site posed an infection risk due to peeling paint and woodwork and kitchen flooring at one site also required replacement”
record keeping
1 finding
moderate“Accurate records of care were not in place as care plan records, key worker records and records of support did not reflect how people's needs...were met.”
leadership
1 finding
moderate“the provider's ethos was not evidently based around the 'Right support right care right culture' principles or current best practice”
staffing levels
1 finding
minor“Two relatives told us they did not think there were always enough staff. One relative said, 'I have found them short staffed.'”
complaints handling
1 finding
minor“one relative said they had complained about poor communication and felt that things had not really improved subsequently.”
communication with families
1 finding
minor“relatives said they could not recall being asked formally for their views about how the service was run.”