critical“three members of staff had recruitment checks which were not completed satisfactorily before they started working. These included checks on staff member's references and criminal record checks.”
governance
1 finding
critical“The provider's quality assurance systems were not effective... checks were carried out however, these were not robust to identify concerns and make improvements in a timely manner.”
care planning
1 finding
critical“the risk assessments contained a lack of comprehensive guidance on how to provide safe care... risk management plans in place did not provide adequate guidance for staff about how to mitigate these risks.”
staffing levels
1 finding
moderate“The provider had not carried out a staff dependency assessment, to determine the appropriate staffing levels at each of the three SLS homes”
communication with families
1 finding
moderate“the support plans were not in an easy ready format in line with the Accessible Information Standard.”
person centred care
1 finding
moderate“Staff guidance to support people with their identified needs lacked details... staff guidance about how people needed to be supported was brief.”
other
1 finding
minor“No they do not respect, my [loved one] can be in the shower for too long and they [staff] walked through the bedroom, I don't agree with that.”