minor“This person's care plan directed staff to 'monitor and report any pressure sores.' However, there was no information about what to look for, such as skin redness or any immediate actions”
consent capacity
1 finding
moderate“the person concerned now had full mental capacity. The Nominated Individual and Quality Manager had not ensured a timely review of the REPSECT form had taken place.”
governance
1 finding
minor“The Nominated Individual had basic systems of audit in place and these were carried out to identify whether any improvement was needed.”