critical“Medicine administration records (MAR) lacked detail...this process did not highlight the staff member who administered the medicines and this form of recording did not follow best practice.”
critical“The four care workers employed at the service were still awaiting training in medicines and no competency framework had yet been established.”
staff training
1 finding
critical“Staff had not received induction or key training to the level that enabled them to support people and meet their needs well.”
staff competency
1 finding
moderate
“Although the service had the care certificate booklets in place, these had not been completed by any of the staff team.”
safeguarding
1 finding
moderate“We were concerned to learn during the inspection that safeguarding adults training had not yet been provided to the staff team.”
governance
1 finding
critical“The service had not conducted audits and quality checks. The providers quality assurance policy and procedure lack detail in respect to what audits the service needed to complete.”
record keeping
1 finding
critical“There were documents missing from the recruitment process including a reference, interview notes, unexplained gaps in employment and no health declaration.”
consent capacity
1 finding
moderate“Staff had not yet received training in MCA...the providers policy and procedures on the MCA failed to indicate how the service would approach this.”
leadership
1 finding
moderate“The registered manager also managed another location connected to the provider in Leeds two days a week...This meant there was additional pressures on the registered manager, which impacted the governance and oversight.”