critical“Information for staff about people's 'when required' medicines was not sufficiently detailed, instructive and personalised.”
care planning
1 finding
critical“People's care plans were mainly focused on the care tasks staff needed to carry out; they were not sufficiently person-centred.”
record keeping
1 finding
moderate“Updated information about risks to people was not always added to people's care records in a timely manner.”
incident learning
1 finding
moderate
“Accidents and incidents had not been audited since the provider started using a new electronic care recording system in May 2023.”
governance
1 finding
critical“The provider's audits had not identified the issues we found during our inspection. Some audits had not been carried out since May 2023.”
person centred care
1 finding
moderate“People's assessments did not contain sufficient information about their diversity and equality rights. They did not include information about people's sexual orientation.”
supervision appraisal
1 finding
minor“They received supervision from their managers; however, this was sometimes not as frequent as set out in the provider's supervision policy.”
communication with families
1 finding
minor“Some people's individual communication needs and their ways of communicating had not been sufficiently recorded and explained in their assessments and care plans.”