moderate“sometimes the service was not able to provide consistent staffing for people which did cause problems”
staff competency
1 finding
moderate“sometimes they send [a new carer] and I'm having to do the training, I'm having to explain what dementia is”
care planning
1 finding
minor“some aspects of the plan lacked information on people's exact preferences for care...some important information about people's family lives was not included”
governance
1 finding
moderate
“The provider was in the process of implementing systems of audit but these were not fully implemented at the time of the inspection”
communication with families
1 finding
minor“One family told us they did not always know who was coming and at times were not told of changes.”
medication management
1 finding
minor“assessments were not always clear about whether it was staff or the person receiving care who had responsibility for managing medicines”
other
1 finding
minor“The service was not fully meeting the AIS...there was not a clear process for identifying when people may need information provided to them in alternative formats.”