moderate“mental capacity assessments and best interest decisions were not always undertaken and documented for people who did not have the capacity to give consent to receive care”
end of life care
1 finding
minor“there were no documented records to show the service had explored and discussed people's preferences and choices to end of life care”
cultural competency
1 finding
minor“no specific training was in place for staff to understand the issues people from lesbian, gay, bi-sexual and transsexual community may face when using their service”
governance
1 finding
minor“Although people were encouraged to give feedback about the quality of care and their overall involvement with the service, we saw no evidence of how the feedback given was used to improve the service and how this was communicated to people.”