critical“Systems were either not in place or robust enough to identify and monitor the quality of the service and drive improvements.”
record keeping
1 finding
critical“information relating to some staff's recruitment, supervision and competencies were not available as they had been taken home by senior staff.”
staff competency
1 finding
moderate“staff had completed a high number of online training courses on the same day...The nominated individual confirmed there was no system in place at present.”
care planning
1 finding
moderate“some people's risk assessments were generic in nature and more work was needed to make them specific to the needs of people being supported.”
end of life care
1 finding
minor“None of the care plans we looked at contained any information about a person's end of life wishes.”
medication management
1 finding
minor“where one person had asked staff for intermittent support with their medicines...this information was not recorded.”
communication with families
1 finding
minor“more work was needed to ensure people's computerised care records were fully accessible and that people had access to information they needed in a format they could understand.”