critical“Care plans did not include any information about supporting people to develop independent living skills. Furthermore, care plans were task orientated and did not include goals for people.”
critical“Care plans were not always comprehensive. This meant there was a risk that people's needs would not be fully met. This was a breach of regulation 9 of the Health and Social Care Act 2008.”
governance
2 findings
critical“The most recent audit done on 11 November 2022 said that goals were included within care plans, but they were not. Audits had also failed to identify that sexuality was not covered in care plans.”
critical“The provider had failed to implement effective quality assurance and monitoring systems. This placed people and others at risk of harm. This was a breach of regulation 17.”
person centred care
1 finding
moderate“Care plans did not cover sexuality. We discussed this with the registered manager who told us they would update care plans to include this.”
record keeping
1 finding
critical“There was no risk assessment in place around choking for the person, which set out the specific support required to minimise the risks they faced.”