critical“Robust risk assessments had not been completed in full relation to a person's health conditions to ensure risks associated with their medical conditions were minimised.”
consent capacity
1 finding
critical“Where people may not have capacity to make decisions about their care and treatment, an MCA assessment had not been carried out to determine if they had capacity.”
governance
1 finding
critical“Audits had not been completed yet as the service completed audits periodically. As audits had not been completed, this meant shortfalls could not be identified.”
person centred care
1 finding
moderate“A person's care plan did not include their preferences on how they would like to be supported with personal care and did not detail the type of support they required.”
record keeping
1 finding
critical“Failure to maintain accurate, complete and contemporaneous records for each service user meant that service users were at risk of receiving unsafe and inappropriate care.”
communication with families
1 finding
minor“The communication plan did not detail how and when the materials should be used to ensure communication was always effective.”