moderate“the risk assessments were lengthy and guidance for staff was not always clear or easy to locate”
moderate“People's care plans were not always personalised or reflective of the care and support being given; information was duplicated and could be confusing”
medication management
1 finding
minor“found a number of issues including gaps in recording, lack of witnessing for handwritten documents and unclear instructions”
infection control
1 finding
minor“We found not all staff reported their test result unless it was a positive result. We discussed this with the registered manager”
record keeping
1 finding
moderate“the records were difficult to follow and did not provide staff with sufficient guidance”
governance
1 finding
minor“Prior to the inspection, we were made aware that an incident had not been notified to us”