moderate“The risk assessment did not outline which sling and the procedure for staff to follow when operating the hoist. This lack of information meant staff may not work in a consistent manner.”
governance
1 finding
moderate“The provider's care plan audit was not effective. The audit had not identified that people's individual risk assessments required clearer guidance for staff to follow.”
record keeping
1 finding
minor“Risk assessments did not always provide staff with clear guidance, including the support people needed to mobilise safely.”