critical“Where people had been identified as having specific risks, we found they did not always have risk management plans to mitigate those risks and guide staff to provide safe care and treatment.”
governance
1 finding
critical“Some audits were in place; however, they had not identified the concerns found during this inspection. Further audits were required to ensure a full and robust oversight of the service.”
record keeping
1 finding
moderate“Information on the system and used by staff did not always fully reflect the person's physical, mental, emotional and social needs.”
staff competency
1 finding
minor“The registered manager told us, and staff confirmed this, that they carry out spot checks to assess for competencies of staff...However, this was not always recorded.”
safeguarding
1 finding
critical“One person had been prescribed a modified diet and fluids by a speech and language therapist...However, there was no risk management plan in place to ensure staff understood the risks.”