critical“Risk assessments were not always in place when a risk had been identified. Therefore staff did not always have information on how to manage and minimise risks to the children.”
moderate“Care plans did not have dates on as to when they had been written or when they had been reviewed. Therefore staff would not know how current or up to date the information was.”
incident learning
1 finding
critical“Actions had not always been completed, leaving staff and child at risk of avoidable harm. We reviewed the child's risk assessment and this information had not been updated.”
governance
1 finding
critical
“There were not robust systems in place to monitor, review and improve the quality of care and some records were not stored securely.”
record keeping
1 finding
moderate“Some personal records of children were stored out of the registered office to enable staff to access them and were not always stored securely.”
leadership
1 finding
moderate“The service has a registered manager in post; they have not been in the service for over six months due to sickness... quality improvements had not been a priority.”
person centred care
1 finding
critical“For children who had behaviours that could challenge... There were no behavioural management plans in place to tell staff what the behaviours were, what the triggers may be.”