minor“Care plans were task orientated and lacked detail about how to support people in line with their preferences.”
governance
1 finding
minor“Information was gathered but was not always analysed to identify trends either positive or negative.”
incident learning
1 finding
minor“It was reviewed on an individual basis but not analysed to identify trends or patterns. The registered manager had recognised that improvements were needed.”
consent capacity
1 finding
minor
“The assessment did not ask questions relating to mental capacity and to support all the protected characteristics of the Equality Act.”
person centred care
1 finding
minor“People and relatives experienced different levels of involvement in decisions about their support... 'We don't really have any input in meetings, face to face.'”