critical“Governance systems had not been established to monitor and mitigate some risks to people's safety and welfare. This placed people at risk of harm.”
medication management
1 finding
moderate“The provider was not recording the total numbers of tablets and counting them after supporting people to take their medicines.”
record keeping
1 finding
moderate“People's daily activity was not recorded in daily case notes. This made it difficult to evidence how staff were following people's care plan's and risk assessments to keep them safe.”
staff training
1 finding
moderate“Two members of staff had not completed any specific training to support people with a learning disability as part of their induction.”
safeguarding
1 finding
moderate“Two members of staff had not had their DBS (Disclosure and Barring Service) checks updated since 2015.”
infection control
1 finding
minor“The infection prevention control policy did not contain specific guidance for staff on COVID-19 transmission reduction procedures.”
leadership
1 finding
moderate“The service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.”