moderate“Monthly infection control audits were not completed to ensure infection risks to people were thoroughly assessed and managed.”
moderate“for staff in high risk groups such and those who were clinically 'extremely vulnerable', specific risk assessments had not been completed to check whether reasonable adjustments were required.”
medication management
1 finding
moderate“Where people were prescribed medicines to be given as required (PRN), people did not have PRN protocols in place to give details to staff about what the medicine was used for”
care planning
1 finding
minor
“1 person's records noted an allergy to a particular food but did not provide further details as to how this impacted upon the person.”
governance
1 finding
moderate“There was a lack of oversight at provider level. Areas identified at this inspection had not been picked up by the provider, for example, omissions of PRN protocols and missing details from risk assessments.”
person centred care
1 finding
minor“The provider had completed a service user questionnaire in 2022, however there was no action plan to evidence feedback was used to improve the service.”