moderate“We found people's capacity to make decisions was not always assessed. There were no capacity assessments available and no assessments regarding individual decisions.”
moderate“Consent to care and support had been sought but we found family members were signing documents when it was unclear whether they had the authority to do so.”
staffing levels
1 finding
minor“one person that was supported to access the community was not always getting these hours due to staff shortages”
medication management
1 finding
moderate
“one person's medicines had gone missing. Because accurate records had not been maintained the quantity was not clear.”
record keeping
1 finding
minor“staff were aware of how to move people safely using equipment the guidance for staff contained in people's documentation could be improved”