moderate“One person said, 'I have used the service for three months and yes lots of changes (17 carers)- so far old and new.'”
care planning
1 finding
moderate“risk assessments were not always sufficiently robust because they did not document all actions considered to reduce the risk and they were not cross referenced with other documentation.”
communication with families
1 finding
minor“people spoken with were not aware of the outcome of the survey results. Newsletters were circulated to staff but not to people using the service.”
governance
1 finding
minor“Monthly audits had not been clearly established but going forward these had been implemented.”