moderate“records kept in relation to references were not sufficiently robust. Although we did not find this had led to unsafe recruitment, improvements were needed”
medication management
1 finding
minor“these care plans did not have separate protocols for medicines prescribed as required (PRN). Protocols are important as they help staff to understand when it is appropriate to offer PRN”
governance
1 finding
moderate“the registered manager had not developed effective systems to demonstrate how they used information from checks to analyse themes and areas for development across the service”
care planning
1 finding
minor“The care plans were informative but did not reflect the highly personalised care we found during our inspection. The registered manager was committed to gradually revising care plans”