critical“due to a misunderstanding with training materials, many staff had not completed the care certificate, and had not been trained in these basic standards for care”
staff competency
1 finding
critical“Staff were not always fully trained. Errors within the induction training package meant that staff had not undertaken the full training courses they required”
governance
1 finding
critical“Audits were taking place in some areas, but oversight was not sufficient enough to pick up the problems within staff training, employment checks, and risk and capacity assessment.”
care planning
1 finding
moderate“care plans which described the risk present in people's lives, but associated risk assessments were not present to detail what the risks were, and how they should be mitigated”
person centred care
1 finding
minor“Care plans contained sufficient information about people's routines and care tasks, but more person centred information was required to detail people's likes, dislikes, personal history”
consent capacity
1 finding
moderate“registered manager told us all the people receiving a regulated activity had full capacity, but there were no care plans in place which detailed their capacity, and how this was assessed”
record keeping
1 finding
moderate“information around employment references was not always present. The registered manager told us the owner of the company the staff came from, said that references had been received”