critical“There was insufficient information in place for staff about when and how to give people their 'when required' medicines.”
moderate“The provider did not use body maps to record where people's medicine patches had been placed on their body.”
care planning
1 finding
critical“Risk assessments were not comprehensive and plans to protect people from avoidable harm were not robust.”
person centred care
1 finding
critical“People's care and support was not recorded and planned in a personalised way.”
record keeping
1 finding
moderate“People's needs assessments and care plans were mainly based on their healthcare requirements. Their diversity and any protected characteristics were not included.”
communication with families
1 finding
moderate“The provider had not adhered to the 5 principles of the Accessible Information Standard (AIS). People's individual communication needs had not been sufficiently recorded.”
governance
1 finding
critical“The provider's audits had not identified the issues we found during our inspection.”