minor“some of the templates such as application forms would benefit from enhancement. For instance, making it clear on the application form prospective employees needed to provide a full employment history.”
care planning
1 finding
critical“Care plans did not always provide enough detail around behaviours which challenge. Clear protocols were not in place for staff to follow in the event of an emergency.”
staff training
1 finding
moderate“Not all staff had completed training in behaviours which challenge and training to support people with learning disabilities.”
staffing levels
1 finding
moderate“People who displayed behaviours which challenge were supported by one member of staff only. We were not always assured the risks of lone working had been fully assessed.”
incident learning
1 finding
moderate“Medicine error records were incomplete and therefore we could not be assured these incidents had been analysed and lessons had been learnt.”
governance
1 finding
critical“Quality assurance measures were not always effective. Although regular audits were taking place, they did not identify the issues we found on this inspection.”
medication management
1 finding
moderate“Medicine errors had been identified, however, important information was often missing. It was not always recorded what action had been taken or how this error could be prevented.”