critical“Governance arrangements within the service were not adequate to ensure safe, good quality care was being delivered. This was a breach of regulation 17 (Good governance)”
record keeping
1 finding
moderate“We checked care notes, and found they contained errors and omissions... the audit had failed to identify these shortfalls.”
care planning
1 finding
moderate“There were risk assessments in people's care records, however they lacked detail and were not sufficient to ensure people's safety.”
staff competency
1 finding
moderate“staff have limited skills, with some not knowing how to operate kitchen equipment.”
staff training
1 finding
moderate“I think that they need more training and they need to be more proactive... I don't think that they are experienced or trained enough.”
communication with families
1 finding
moderate“People told us they did not feel staff communicated well with them, with several raising concerns about communication barriers.”
consent capacity
1 finding
moderate“the records we checked were not correctly completed; people had signed them but their choices in relation to consent were not recorded.”
staffing levels
1 finding
minor“they said continuity of staffing had diminished in recent months.”
person centred care
1 finding
moderate“Each care plan we looked at held only limited information about people's preferences.”
other
1 finding
moderate“Staff files showed that the provider had not obtained a full record of their work history before commencing work. References lacked detail, and in one staff member's file the references were blank.”