moderate“Risk assessments were not always in place for foreseeable risks. Not all risk assessments contained the information staff needed to prevent harm occurring.”
moderate“One risk assessment regarding skin integrity did not take into consideration that the person was spending the majority of their time in bed and how this could increase their risk of pressure ulcers.”
safeguarding
1 finding
moderate“Not all staff were fully aware of the procedure to follow if they suspected someone may have been harmed.”