critical“People who required support to manage their medicines did not have a medicines care plan, risk assessment or medicines administration records (MAR) in place.”
care planning
1 finding
critical“Care plans did not always identify or reflect individuals' preferences in the way they wished to be supported or contain detailed information about their needs.”
record keeping
1 finding
moderate“A manual handling risk assessment recorded that the person required support with mobilising safely, however, it failed to detail what support they required, when and by whom.”
staff competency
1 finding
moderate“Medicines competency assessments had not been completed to ensure staff were competent to manage and administer medicines safely.”
governance
1 finding
critical“Systems and processes in place for monitoring the quality and safety of the service failed to identify the issues and concerns we found at this inspection.”
person centred care
1 finding
moderate“Care plans did not fully detail people's personal histories such as family and social networks, diverse needs and their interests and hobbies.”
communication with families
1 finding
minor“Personalised communication assessments were not detailed and did not provide guidance for staff on how best to communicate effectively with people.”