critical“Staff did not receive appropriate support and training to carry out their duties safely. This placed people at risk of receiving inappropriate or unsafe care.”
record keeping
1 finding
critical“there were failures to record, monitor and improve the quality and safety of the service, failure to maintain accurate records was a breach of regulation 17”
medication management
1 finding
moderate“Medication administration record (MAR) information supplied to us had gaps that the provider was unable to provide evidence of.”
governance
1 finding
moderate“The provider's systems and quality assurance processes were not effective at supporting robust oversight of the safety and quality of people's care.”
staff competency
1 finding
moderate“There was not a robust effective system in place to ensure that the provider employed people who were suitably qualified, competent and experienced.”
supervision appraisal
1 finding
moderate“Staff supervision and support was inconsistent and did not meet the needs of all staff.”
safeguarding
1 finding
moderate“not all staff we spoke to knew how to access the policies on safeguarding or whistleblowing. This meant that not all staff were aware of the policies to keep people safe from abuse.”
incident learning
1 finding
moderate“debriefs did not always happen in a timely manner or have evidence of being followed up.”
complaints handling
1 finding
minor“The provider did not supply us with their complaints policy, and we were unable to see any recording of complaints made to the provider.”
staffing levels
1 finding
minor“We are not too happy about the amount of agency staff. It's difficult to staff adequately.”