minor“Some of the care records were not consistent. For example, in one person's care plan there was no reference to continence needs, but in their support plan it identified the person needed support with continence needs.”
incident learning
1 finding
minor“Systems and processes were in place to learn lessons from events. However, it wasn't always clear how these were shared with staff and acted on.”
person centred care
1 finding
minor“[Staff] leave [person's] door open and we call all see.”