critical“Risks to people were not always identified. Risk assessments were not always carried out for medicines, falls and moving and handling.”
moderate“their moving and handling risk assessment did not identify the potential risks of using these mobility aids and there was no guidance in place for staff”
moderate“Some people were at risk of falls; there were no falls risk assessments in place or guidance for staff on how to minimise these risks.”
medication management
2 findings
moderate“The provider's medicines management systems were not always safe.”
moderate
“Where staff support was required, this was not always clearly recorded... the audit tool used was too basic to able to identify any issues.”
governance
1 finding
critical“The provider's quality assurance systems and processes were not always effective. Although some audits were in place, they had not enabled the provider to identify and address the shortfalls”
record keeping
1 finding
moderate“shortfalls in the quality of record keeping we found at this inspection. This included the assessment of risks to people, the robustness of needs assessments, medication audits and reviews of care plans.”
communication with families
1 finding
minor“one person did not have English as a first language... Service information had been provided, but only in English and not in their first language.”
person centred care
1 finding
minor“Care plans were person centred but required more detail.”