critical“Mental capacity assessments were not always decision specific, did not always involve people in the decision or appropriately assess their capacity.”
complaints handling
1 finding
critical“Records of complaints received before the current manager was in post were not accessible to them during the inspection.”
governance
1 finding
critical“Quality assurance checks had not identified and addressed all areas for improvement highlighted by our inspection.”
care planning
1 finding
moderate
“Care plans did not contain up to date, personalised information relevant to people's needs. There were not detailed specialist assessments for people's skin integrity, mobility, continence or communication.”
record keeping
1 finding
moderate“Care plan records were not always accurate. For example, one person's care plan advised staff that they used bed rails...the manager advised the person did not use bed rails.”
end of life care
1 finding
moderate“People's preferences and choices for their end of life care were not sufficiently explored with people or detailed in their care plans.”
person centred care
1 finding
moderate“Staff knew people well and could describe their needs, but this was not always reflected in people's care plans.”
communication with families
1 finding
minor“People's communication needs were not recorded in detail in their care plans. For example, staff told us about one person who was very quiet. Their communication care plan did not include this information.”