critical“Quality assurance checks to cover all aspect of the service were not in place. The audits that had been completed lacked clarity regarding concerns identified and failed to provide actions taken.”
moderate“The service improvement plan was not robust. The lack of auditing did not support an effective improvement plan.”
end of life care
1 finding
minor“Care plans did not document end of life wishes. Following the inspection, the registered manager provided evidence their paperwork was updated to record these needs.”