critical“The provider's systems and processes for the management and oversight of the service were not consistently effective and had not identified the concerns we found during the inspection.”
staff competency
1 finding
critical“Unsafe moving and handling techniques were being used by staff to support people to mobilise. Risk assessments did not always contain clear guidance to staff.”
staff training
1 finding
moderate“The manager of the service had not completed any moving and handling training themselves and therefore, had not identified where staff were not following safe practices.”
care planning
1 finding
moderate“Risk assessments we reviewed varied in the level of detail they contained... Some risk assessments lacked detailed information, for example, how much thickener was required in a person's drink.”
leadership
1 finding
moderate“There was no registered manager in post as required by law. The current manager was in the process of applying to take registration.”
record keeping
1 finding
moderate“They contained out of date information as the person was no longer using the equipment stated in the assessment.”