critical“The provider had failed to fully establish effective systems and processes to demonstrate the quality and safety of the services provided was effectively managed.”
medication management
1 finding
moderate“medicines audits lacked any detail, with no reference to current legislation and good practice guidance.”
staff training
1 finding
moderate“we found staff training records were incomplete. The registered manager told us they were considering purchasing an online package to proactively track and chase staff training.”
consent capacity
1 finding
minor“There were no training records to show staff were up to date with MCA training. However, staff were aware of the need to give people choices.”
leadership
1 finding
moderate“The provider had not kept full oversight of the service. This could have identified the issues with the quality assurance systems we found at this inspection.”