moderate“2 staff members did not have a complete employment history. We discussed this with the registered manager who ensured the required information was obtained and records updated.”
minor“for one staff member not quite a full employment history had been obtained. We discussed this with the registered manager who updated records straight away.”
medication management
2 findings
moderate“Staff were trained in the safe administration of medicines and were observed by the registered manager to ensure they were competent, but there was no formal process in place to record and maintain copies of the staff competencies.”
minor“we saw that one record had a missed signature which we spoke with the registered manager about.”
staff competency
1 finding
moderate“there was a lack of records available to evidence shadowing, competency assessments and spot checks and we have made a recommendation about this.”
care planning
1 finding
moderate“some care plans and risk assessments had not always been updated in a timely way following a change in people's needs or contained conflicting information.”
incident learning
1 finding
minor“A more robust system was needed to demonstrate how incidents and accidents were reviewed for themes and trends and to demonstrate how lessons learnt were shared with staff.”