critical“The provider failed to maintain accurate, complete and contemporaneous records in respect of each service user. Regulation 17(1)(2)(a)(b)(c)”
medication management
1 finding
moderate“Medicine administration records did not contain all of the expected information to ensure the medicines would be administered safely.”
governance
1 finding
critical“The records and practices in place did not always provide evidence that all risks to people had been identified and that all regulatory requirements were being met.”
care planning
1 finding
moderate“Care plans needed further development to ensure all risks had been considered and mitigated.”
consent capacity
1 finding
moderate“People's capacity was not clearly defined, and records relating to best interest decisions were not detailed in the care records or accessible to staff if needed.”
communication with families
1 finding
minor“Two others felt communication was less open, leaving them feeling unheard and disconnected.”