minor“Protocols were not always in place to support the safe and consistent use of 'as and when required medicines'. We discussed this with the registered manager, who introduced these records.”
incident learning
1 finding
minor“Trends and patterns were not always being looked at to consider wider learning and improvements.”
staff training
1 finding
minor“Some staff had not completed recent training in line with the provider's policies, we discussed this with the registered manager, who told us they would review this.”
record keeping
1 finding
minor“Information was not consistently recorded about people's preferences and choices towards the end of their life.”
governance
1 finding
minor“The provider did not always have a robust system in place to support them to identify when statutory notifications were needed.”