moderate“further development of their quality assurance processes would assist the registered manager in monitoring the service and ensure the regulatory requirements were being met”
record keeping
1 finding
minor“discrepancies and gaps in staff's employment were investigated and discussed as part of the recruitment process but not always recorded”
consent capacity
1 finding
moderate“improvements were needed to evidence how the registered manager had obtained lawful consent using the principles of the MCA when people did not have the mental capacity”
medication management
1 finding
minor“staff would benefit from some clarity about the definitions of the different levels of support in managing people's medicines and how this is recorded”
end of life care
1 finding
minor“the registered manager recognised that end of life care was an area that required further development to enable staff to support people effectively during their final stages of life”