moderate“the protocol did not include information such as how long the medicine can be used for or how the person would communicate the medicine is required.”
care planning
1 finding
moderate“one person's care plan stated the person was at risk of developing pressure sores, however, did not include action to take if a pressure sore developed.”
governance
1 finding
critical“the registered person had not operated an effective system to enable them to assess, monitor and improve the quality and safety of the service provided. Regulation 17 (1, 2,)”
record keeping
1 finding
moderate“the audits did not document if there had been any areas of improvement identified or if any changes made.”
staff training
1 finding
minor“did not include training in relation to supporting people with a learning disability and autistic people or oral care.”