moderate“some risk assessments referred to other people rather than the person whose assessment it was, indicating it may have been "cut and pasted" from another person's risk assessment.”
medication management
1 finding
moderate“although some of these medicines had protocols, this was not the case for all of them. The provider told us they would address this when we raised it.”
consent capacity
1 finding
moderate“we found some staff did not have a good understanding of what capacity meant. The registered managers confirmed they would address this and check staff's knowledge.”
record keeping
1 finding
minor“some did not appear to have been reviewed for some time, meaning it was not clear whether people's preferences had changed.”
communication with families
1 finding
minor“a small number of relatives told us they did not always feel engaged and felt there was a high turnover of staff and managers.”