moderate“not all the quality checks undertaken by the registered manager were formerly recorded. For example, we found there was no formal audits of staff files or competency checks of staff practice.”
record keeping
1 finding
moderate“Improvements were required to ensure all recruitment checks were in line with schedule 3 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.”
staff competency
1 finding
minor“No formal competency checks of staff practice had been undertaken. However, the registered manager worked alongside staff.”
staff training
1 finding
minor“The registered manager was in the process of arranging for staff to receive end of life care training to ensure people had a comfortable, dignified and pain-free death.”