moderate“Known risks to people were not always fully assessed. A generic explanation of what the conditions were, was provided to staff, but a detailed assessment of risk specific to the person was not present.”
record keeping
1 finding
moderate“Systems and processes had not been established to identify this lack of documentation, and take prompt action to ensure a complete and contemporaneous record of people's needs were kept.”
governance
1 finding
moderate“Systems and processes were not always in place to identify the lack of risk assessment and care planning.”
person centred care
1 finding
minor“Care plans required further detail to ensure that people's individual needs, preferences and routines were reflected.”