minor“The provider needed to make some minor improvements to people's care plans when staff supported people with medicines prescribed on a 'when required' basis.”
moderate“Risks associated with the use of bed rails had not been thoroughly assessed. The provider agreed to implement a more comprehensive assessment for any person using bed rails.”
record keeping
1 finding
moderate“One care plan we reviewed contained conflicting information about a person's mobility following a change in the person's needs. This increased the risk they could receive inappropriate support to mobilise.”
staff competency
1 finding
moderate
“They had not ensured they obtained a full work history for each staff member. The provider amended their recruitment practices immediately.”
infection control
1 finding
minor“There had been occasions where staff had not followed good practice guidance in respect of the use of face masks. We brought this to the provider's attention, and they addressed it immediately.”