critical“The provider had failed to ensure there were sufficient numbers of staff available to meet people's needs.”
missed or late visits
1 finding
critical“If staff phone in sick, [person] will only get 10 minute visits... 15-20 minutes [visits] are done instead of 40 minutes.”
staff training
1 finding
critical“out of date or incomplete training in key areas of people's support such as safeguarding, moving and handling and health and safety.”
supervision appraisal
1 finding
moderate“it was not clear how often these were taking place and staff told us they did not feel supported in their roles.”
governance
1 finding
critical“The provider had not ensured effective processes were in place to monitor the safety and quality of the service.”
leadership
1 finding
moderate“Staff told us they did not always feel able to raise concerns and did not feel they were listened to when they did.”
safeguarding
1 finding
moderate“not all concerns raised by relatives were being accurately recorded as safeguarding concerns and this meant we could not be assured the relevant notifications were being raised.”
record keeping
1 finding
moderate“care plans which contained blank and incomplete consent forms and lacked detail about how people had been involved in making decisions about their care.”
complaints handling
1 finding
moderate“The provider's process for recording and tracking complaints was not always robust. Information was not always documented or cross referenced”
infection control
1 finding
moderate“Until the recent Covid outbreak, staff were not wearing PPE... information about minimising the risks of cross infection had not always been shared effectively”
consent capacity
1 finding
moderate“this information had not always been incorporated into their care plans which contained blank and incomplete consent forms”
person centred care
1 finding
moderate“Staff are so busy, people are getting their basic care but nothing extra... staff haven't got the time to support people”
staff competency
1 finding
minor“The less experienced carers would benefit from gaining dementia skills.”