moderate“The audits in place had not identified the issues we found.”
record keeping
1 finding
minor“The service had moved address and the provider had failed to complete the correct paperwork to notify CQC of this change.”
consent capacity
1 finding
moderate“The service had not ensured when there was doubt over a person's capacity, the necessary assessments had been undertaken.”
supervision appraisal
1 finding
minor
“Staff supervisions and appraisals were taking place, but not in line with policy.”
staff competency
1 finding
minor“Staff had completed MCA training, however, they lacked some knowledge in this area.”
care planning
1 finding
minor“The service did have a pre-assessment form in place, but one had not been completed for the care package we reviewed.”
staffing levels
1 finding
moderate“Systems and processes were not always robust when the service recruited staff. The service had not completed all necessary recruitment checks before some staff's employment had started.”