critical“The provider had failed to ensure there were effective governance and quality assurance measures in place. This was a breach of regulation 17 (Good governance)”
care planning
1 finding
critical“The registered manager had developed care plan's but they had not always completed and documented how they managed risks. For example, to risk assess the use of bedrails”
supervision appraisal
1 finding
moderate“Staff had not been provided with regular supervision to help support them within their job role.”
staff training
1 finding
moderate“there were no records available to show whether staff had been supplied with suitable induction.”
infection control
1 finding
moderate“the registered manager had not routinely recorded testing and had no evidence of general oversite and monitoring of staff testing and their results.”
record keeping
1 finding
moderate“Some of the care records had not been fully documented and signed. Some improvements were needed with the care records to help improve the accuracy and clarity of the support plans.”
other
1 finding
minor“Staff recruitment procedures needed improvements to ensure they had all relevant documentation to evidence safe recruitment practices. For example, interview notes had not been stored”