moderate“capacity assessments were limited and when formal assessments were unavailable from healthcare professionals, there were insufficient guides to staff”
moderate“The service was also not documenting how consent was being provided for the purposes of the service it was providing.”
record keeping
1 finding
minor“Accidents and incidents were being recorded but there were no formal records of any review of these or discussion with staff about any lessons learned.”
governance
1 finding
moderate“checks were not effective in identifying issues we found during this inspection. For example, the recruitment and mental capacity issues seen earlier in this report.”
incident learning
1 finding
minor“there were no formal records of any review of these or discussion with staff about any lessons learned.”