moderate“staff supervisions and competence assessments had not happened as often as they should have.”
incident learning
1 finding
moderate“Auditing of medicines administration and incidents had not included meaningful reflection on broader trends and themes, and these had not been fed back to staff.”
governance
1 finding
moderate“Regular local oversight had not always been managed in an effective way, in line with the provider's procedures.”
care planning
1 finding
minor
“The provider had identified the need to improve the person-centred nature of some care documentation and this work was nearly complete at the time of inspection.”