moderate“Care plans lacked personalised information...we found a number of care and support plans that were incomplete.”
governance
1 finding
critical“Systems were either not in place or robust enough to demonstrate effective governance of the service. This placed people at risk of harm.”
record keeping
1 finding
moderate“We found evidence of incomplete care and support plans and initial assessment forms. Complaints logs were not completed properly to show actions taken.”
medication management
1 finding
moderate“There was insufficient information on some care records in relation to medicines management. It was not always clear how medicines were to be given.”
safeguarding
1 finding
critical“We found two safeguarding incidents that had not been notified to CQC in line with regulatory requirements, as they were sent in after prompting from CQC.”
consent capacity
1 finding
moderate“Documentation in relation to mental capacity was not always in place...we found gaps in forms, and sometimes contradictory information.”
complaints handling
1 finding
minor“Records did not always reflect accurately the actions taken. This meant it was difficult to confirm that complaints were dealt with in a timely way.”
communication with families
1 finding
minor“Several people and their family members told us they were rarely told when staff were running late, and they found it very difficult to get through to the office.”