moderate“People's care plans did not always contain detailed and person-centred information about the support they required with their medicines.”
care planning
1 finding
moderate“Care plans and risk assessments did not always contain enough information or guidance for staff to follow about how risks should be managed to keep people safe.”
record keeping
1 finding
critical“Clear and complete records were not always available. This meant we could not always be certain about the support provided, how people's needs were met.”
governance
1 finding
critical“Audits did not evidence a robust approach to monitoring the quality and safety of the service or to driving continuous learning and improvements.”
person centred care
1 finding
moderate“Staff did not have detailed and clear plans to follow about how they should support people to achieve their goals, build relationships and pursue meaningful activities.”
incident learning
1 finding
moderate“Accidents and incident reports were brief and did not always provide detailed information about what had happened and how staff had responded.”
communication with families
1 finding
minor“I'm not always made aware of incidents or concerns relating to [Name's] health and wellbeing and I never really get any feedback from the staff; I have to ask for it.”