20 March 2013
During a routine inspection
We found that people and or their representatives had not always agreed to care plans. Where people lacked capacity to make these decisions independently we found that the service did not implement its informed consent policy effectively.
The provider had recruitment and selection processes in place. However we found that the appropriate checks were not always undertaken before staff began work to ensure suitable people were employed.
We found staff did not routinely receive appropriate supervision and relevant training. The provider had recruited a new training manager and training plans were to be developed. Staff told us that team meetings provided peer support and that informal support was available.
There was an effective complaints system in place. We found people were satisfied with the way the provider responded to and resolved their concerns. One relative told us 'they looked into the issue properly and things have now improved'.