moderate“some lacked detailed information relating to people's medication, conditions and potential risk.”
record keeping
1 finding
moderate“One person could display verbal aggression but there were no details around potential triggers, signs or the likelihood of this behaviour in their care records.”
medication management
1 finding
moderate“the provider's own procedures had not been followed when somebody had requested 'when required' medication to treat pain.”
supervision appraisal
1 finding
moderate“Some supervisions and appraisals had not been carried out in-line with company policy.”
staff competency
1 finding
minor“Periodic competence checks were carried out, but we noted a small proportion had not been completed in line with national guidance.”
incident learning
1 finding
moderate“Due to a recent change in management and a lack of information, we could not be assured that lessons were learnt from incidents or accidents.”
safeguarding
1 finding
moderate“There were limited safeguarding referrals available for review during our visit. This made it difficult to check if appropriate processes had been followed.”
governance
1 finding
moderate“audits and checks were in place, these were not fully embedded due to recent changes in management.”