critical“care records lacked specific detail and clear guidelines for staff to follow to mitigate any possible risks.”
record keeping
1 finding
moderate“there were no formal records kept of the audit process. Samples of daily logs for one person had still not been returned since November 2022.”
consent capacity
1 finding
moderate“one person's care plan was not clear about their ability to be involved and be supported to make specific decisions about their care.”
communication with families
1 finding
moderate“People's communication needs were assessed and recorded during their initial assessment but improvements could be made with the level of detail recorded.”
governance
1 finding
moderate“The provider had not fulfilled their regulatory requirements at the time of the inspection...it had still not been submitted.”
person centred care
1 finding
minor“care plans lacked detailed information about the accurate levels of support that were being provided.”