critical“most did not include enough sufficiently detailed risk management plans. Risks associated with people's home environment, moving and handling, skin integrity and nutrition had not been properly assessed.”
staff training
1 finding
critical“some staff had not completed training in dementia awareness, safeguarding adults, moving and handling, mental capacity and deprivation of liberty safeguards, food hygiene, infection prevention and control, end of life care and equality and diversity.”
supervision appraisal
1 finding
critical“Staff had not attended any formal individual or group supervision meetings with the registered manager or their fellow co-workers, had their overall work performance formally appraised in the past 12 months”
governance
1 finding
critical“The provider had governance and monitoring systems in place, but these were not always operated effectively. This was because these systems had failed to pick up and/or take appropriate action to address a number of issues”
record keeping
1 finding
moderate“while staff files contained at least one satisfactory character and/or employment reference for everyone the provider employed, most did not include a second reference.”
infection control
1 finding
minor“the provider did not have an infection prevention and control policy in place”
staff competency
1 finding
moderate“this induction was not mapped to the Care Certificate and therefore did not prepare staff for their role and responsibilities.”