critical“The provider had not ensured staff received training in learning disability and autism, this is a legal requirement for health and social care providers.”
governance
1 finding
critical“Systems and processes were not robust enough to demonstrate governance was effectively managed. This was a breach of regulation 17.”
consent capacity
1 finding
moderate“Mental capacity assessments had not been completed in line with best practice so it was unclear what specific decisions people could make.”
record keeping
1 finding
moderate“Gaps in people's daily care records where staff had visited but not recorded how the person was or the care and support provided.”
care planning
1 finding
minor“One person's communication needs had not been recorded, and important information staff told us about on how they interacted with the person did not appear in their care plan.”
communication with families
1 finding
minor“Relatives had not been kept up to date with actions the service had taken when a person's needs had changed.”