moderate“Some peoples care plans did not include assessments of risks relating to their clinical conditions.”
minor“The registered manager had not consistently assessed people's needs and choices prior to providing care. Staff had supported a person prior to their preadmission information being formally assessed.”
staff competency
1 finding
moderate“Skills staff did not always match the needs of people using the service. The registered manager had not ensured all staff had appropriate skills and knowledge to support people with specific needs such as those requiring stoma care.”
medication management
1 finding
moderate
“Staff did not have access to information about the specific medicines for some people, including potential side effects.”
governance
1 finding
moderate“There were not established and effective systems in place to ensure the consistent and appropriate identification, assessment and management of clinical and mobility risks.”