moderate“the system to identify important appointments for people to attend was not as effective as it should be, this meant important health appointments had been missed.”
communication with families
1 finding
moderate“the registered manager only became aware a person had missed four hospital appointments when we informed them. This demonstrated improvement was still required to ensure effective communication”
consent capacity
1 finding
minor“recording of decisions made in people's best interest were not clear and required more detail assessments would have benefited from further information about what support people had been given”
governance
1 finding
minor“Significant improvements had been made since our last inspection visit, however systems still needed to become embedded in staff practice to become totally effective.”
person centred care
1 finding
moderate“One person was receiving treatment following a serious illness and had missed important hospital appointments which meant a risk to the person's recovery.”