moderate“1 person's mobility care plan did not describe how they were supported to mobilise. We also found 1 person was supported by staff with meal preparation and medicines administration, but this was not in line with their care plan.”
moderate“Risk assessments had not been completed related to people's environments and 1 person's epilepsy risk assessment did not include detailed action for staff if they had a seizure.”
governance
1 finding
moderate“Audits of care plans were not as robust; they had not identified the issues we found during the inspection.”
record keeping
1 finding
moderate
“The registered manager did not always ensure care plans and risk assessments included up to date detailed guidance for staff and check they followed people's assessed needs.”
safeguarding
1 finding
critical“The registered manager had not submitted any notifications to CQC at the time of the inspection. Some safeguarding concerns had been referred to the local authority, but CQC were not notified.”
consent capacity
1 finding
moderate“The person's capacity assessment did not include evidence of how the person had been involved...it did not describe how the person had been supported to understand or how they had responded.”