moderate“Care plans lacked detail about people's likes and dislikes and general information about their physical and mental health conditions.”
staff training
1 finding
moderate“Staff and management had not received training in the Mental Capacity Act.”
staff competency
1 finding
moderate“Not all staff had received up to date training in the basic core areas which meant the registered manager could not be assured staff were providing people with safe, effective and person-centred care.”
governance
1 finding
critical“Systems were ineffective for assessing and monitoring the quality of care, safety and personal needs of people using the service. This was a breach of regulation 17(1).”
record keeping
1 finding
moderate“The registered manager had not identified the concerns we raised during this inspection in relation to care records and risk management, recruitment processes and record keeping.”
person centred care
1 finding
moderate“The care and support provision did not always embrace people's preferences for choice of gender of the staff supporting them.”
end of life care
1 finding
minor“The registered manager acknowledged the concept of serious illness, death and dying had not been approached with people or recorded for staff to be aware of their wishes.”
consent capacity
1 finding
moderate“Staff and management had not received training in the Mental Capacity Act 2005.”