critical“They did not fully understand information sharing requirements when concerns had been identified and when notifications should be sent to the CQC and the local authority.”
moderate“There was little evidence to show how lessons learnt were routinely used to improve the quality of the service.”
safeguarding
1 finding
moderate“Some staff did not know about how to contact the local authority safeguarding team if they had concerns.”
medication management
1 finding
minor“Protocols for administering as needed medicines were not always in place and MAR charts did not contain body maps for topical medication.”
incident learning
1 finding
moderate“We did not see routine analysis to identify any patterns or trends to reduce any potential future risks and help improve the service.”
record keeping
1 finding
minor“People told us initial assessments had taken place and they were involved in the development of their care plans. However, initial assessments had not been recorded.”
consent capacity
1 finding
minor“Staff understood the importance of seeking consent before providing care or support. However, some staff did not fully understand the requirements of the MCA.”