minor“There were not fully developed systems for auditing medicines support... there were not formal systems for auditing medicines which would help the registered manager to identify areas for development”
infection control
1 finding
moderate“Staff had not been testing for COVID-19 in line with national requirements, as the provider had not fully understood current guidance.”
incident learning
1 finding
minor“incident reporting procedures were not clear about the longer term action to prevent similar incidents from reoccurring.”
consent capacity
1 finding
minor“the capacity assessment did not always ask questions which were in line with best practice.”
care planning
1 finding
minor“there were suitable risk mitigation measures in place but these were not fully detailed in the person's care plan.”
governance
1 finding
moderate“Certain areas of audit were not yet fully developed to ensure quality performance in future... lack of higher level audits”
communication with families
1 finding
minor“There were other documents which could have been provided in people's first languages such as support plans.”