critical“Risk assessments did not always have information staff needed to keep people safe. Risks in relation to people's individual staffing arrangements were not always documented.”
moderate“Support plans did not always include the information about people's support around continence. Records of mental capacity assessments were not always clear.”
record keeping
1 finding
critical“Records were not dated and they had been overwritten. For example, the same information appeared several days running for one person.”
governance
1 finding
critical
“The provider's auditing processes had not detected the issues found during inspection in relation to risk management and records.”
incident learning
1 finding
moderate“The management team had not fully understood their responsibilities to ensure compliance in relation to duty of candour... the provider had not formally written and apologised when these had occurred.”
complaints handling
1 finding
minor“Where complaints had been raised these had not always been responded to within the timescales set out in the provider's complaints policy. A relative had made a formal complaint and this had not been formally resolved.”