critical“There were no risk management plans to provide guidance to care workers on how the risks associated with these conditions affected people and to how to manage those risks”
governance
1 finding
critical“the provider did not have robust systems to assess, monitor and improve the quality and safety of the service. This was a breach of regulation 17 (Good Governance)”
record keeping
1 finding
moderate“when these checks were carried out the information and any actions which had been identified to address areas for improvement were not recorded”
incident learning
1 finding
moderate“The registered manager could not provide records for the COVID 19 risk assessments.”