moderate“Records were not always accurate, complete or up to date.”
care planning
1 finding
moderate“Care plans were not always up to date and some risk assessments had not been completed.”
governance
1 finding
moderate“Audits had not always been effective at identifying shortfalls and ensuring improvements were made.”
staff training
1 finding
moderate
“Records were not always available to show care staff had been recruited in line with the provider's policy”
medication management
1 finding
minor“We found one person's skin creams were not recorded on their MAR and the registered manager took action to put this in place.”
complaints handling
1 finding
minor“they resolved any issues as they had occurred, however records had not been kept of these.”
consent capacity
1 finding
minor“their mental capacity to understand and consent to their care was now different from that recorded in their original MCA assessment.”
leadership
1 finding
moderate“the service management and leadership was inconsistent. Leaders and the culture they created did not assure the delivery of high-quality care.”