critical“risk management plan stated, 'Bed bound, therefore high risk of developing pressure sores'...failed to described how many visits the person had each day and the duration”
governance
1 finding
critical“provider failed to have robust processes in place to review the quality and standard of care at the service. This was a breach of Regulation 17 (Good governance)”
infection control
1 finding
moderate“registered manager did not have a clear understanding the national government guidance and recommendations of infection prevention and control measures”
consent capacity
1 finding
moderate“registered manager did not complete mental capacity assessments for people when they were unable to make decisions for themselves”
person centred care
1 finding
moderate“one person's care plan clearly detailed their history before receiving care. However, this information provided was not consistent”
supervision appraisal
1 finding
moderate“management were made up of close relatives who were also providing care and support to people and there were no records that supervision had taken place with them”
communication with families
1 finding
moderate“service was not meeting the Accessible Information Standard. The registered manager did not understand the requirements of AIS.”
record keeping
1 finding
minor“Feedback was received through telephone calls but these were not recorded and monitored.”