moderate“Care plans did not include people's preferences with personal care to ensure they received person centred care.”
moderate“Care plans did not include information about peoples learning disabilities and any specific routines they may follow to ensure they received high quality care.”
governance
1 finding
critical“Robust audit systems were not in place to ensure people received safe personalised care... these audits did not identify the shortfalls we found with risk assessments and care plans.”
record keeping
1 finding
critical“The 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.”
person centred care
1 finding
moderate“Although care plans included the support people generally required, it did not include people's preferences on how they would like to be supported with personal care.”
safeguarding
1 finding
moderate“Risk assessments had not been completed in relation to a person's health conditions to ensure risks associated with people's medical conditions were minimised.”
leadership
1 finding
moderate“At the time of our inspection there was not a registered manager in post.”